2 results
Descriptive study of patients admitted to a Psychiatric Home Hospitalization Unit in Santa Coloma de Gramenet and Badalona
- J. Marti Bonany, D. Garcia Hernandez, D. Tolosa Merlos, R. Romar Navia, R. B. Sauras Quetcuti, M. J. Ambros Ghisilieri, G. A. Mateu Codina, D. Garcia Fuentes, A. M. Coratu, G. De Iturbe Catania, R. Sanchez Gonzalez, M. T. Campillo Sanz, A. Riera Soler
-
- Journal:
- European Psychiatry / Volume 67 / Issue S1 / April 2024
- Published online by Cambridge University Press:
- 27 August 2024, p. S572
-
- Article
-
- You have access Access
- Open access
- Export citation
-
Introduction
Hospital at home for psychiatric patients is a new emerging resource of delivering acute mental health care in the community. The main objective of this program is to provide intense care to patients with severe mental disorders at home as an alternative to acute admission.
Although home hospitalisation has begun to develop widely in recent years there is a notable lack of studies
The CAEM Psychiatric Home Hospitalization Unit (HAD-CAEM) has been operating since 2018 and takes place in Santa Coloma de Gramenet; and from March 2022 also in a part of Badalona. Both are sociodemographically depressed areas near Barcelona.
ObjectivesThe aim of this study is to describe the characteristics of patients attended at the Psychiatric Home Hospitalization Unit of our hospital and to study differences according to area and place of referral.
MethodsSocio-demographic and clinical data were collected retrospectively at admission and discharge of all patients treated at HAD-CAEM between March 2022 to february 2023.
Statistical analysis was performed by using SPSS program.
Results85 patients were included in the study. 45.9% were women. The mean age was 45.5 years (SD 15.58 years). The main diagnoses of the sample were psychosis and schizophrenia (38.8%), Bipolar disorder (23.53%), Depressive disorder (21.18%), schizoaffective disorder (8.24%) and others (8,24%).
54 (63.53%) patients were from Santa Coloma area and 35 (41.18%) from Badalona area.
The total mean duration of admission was 40.22 days (SD 26.18 days), with a mean follow-up of 10.09 visits (SD 5.39 visits) and 2.41 teleassistence (SD 2.62).
The mean duration of admission for Santa Coloma patients was 43.98 days (SD 28.59), and for Badalona patients 33.68 days (SD 20.13). Trend without significance is observed (t= 1.77, p=0.08)
We found differences in the mean duration of admission according to referral location. Acute psychiatric unit 33.25 days (SD 18.06), Mental health Center 51.93 days (SD 33.45), Emergencies 34.28 days (SD 19.69) (F=5.1, p=0.008).
ConclusionsSociodemografic and clinical característics obtained in our study are consistent with those reported in previous studies. The duration of admission of patients referred from the mental health center is longer than those referred from the acute psychiatric or emergency unit. Home hospitalization teams have been increasing in recent years, being an alternative to traditional hospitalization.
Disclosure of InterestNone Declared
The husbandry, welfare and health of captive African civets (Vivera civetica) in western Ethiopa
- T Tolosa, F Regassa
-
- Journal:
- Animal Welfare / Volume 16 / Issue 1 / February 2007
- Published online by Cambridge University Press:
- 11 January 2023, pp. 15-19
-
- Article
- Export citation
-
A study was carried out during the period from September 2001 to August 2002 in Jimma zone, western Ethiopia to evaluate the husbandry and health of captive African civets (Vivera civetica). Wild civets were found in the wild in all 13 of the districts in the zone, although traditional civet-keeping was practiced in only five. Civet management practices were determined via the use of a questionnaire survey of 15 farms; containing a total of 107 civets. Health was assessed by routine clinical examination, and examination of faecal and blood smears of 55 civets selected at random. All civets were male and over one year of age, with a mean weight of 12.5 ± 0.79 kg. Fifteen percent were in poor body condition, and only 13% had a good body condition score. An average of 7.13 civets were kept on each farm. Farmers obtained wild civets by either trapping them themselves, purchasing them from dealers or a combination of both. The civets were housed separately in wooden cages, with an average size of 1.0 × 0.5 × 1.0 m (length × breadth × height) and kept in a communal thatched room. They were fed boiled meat, milk (fresh or powdered), eggs, butter, corn soup and fruit juice. Although an assessment of the behavioural parameters of welfare were outwith the scope of this study, trapping methods, adaptation processes, housing condition, restraint and the techniques for musk extraction from the anal glands were stressful and injurious, and have important welfare implications. Approximately 20 g of musk was expressed from a single civet every 9-15 days. The civets often sustained injuries while being restrained during musk harvesting; 14% had swelling and bruising, 6.5% fractures and 11.2% had eye lesions. Cestodes were the most prevalent gastrointestinal parasites, followed by ancylostomes, ascarides and Tricuris spp. Skin lesions were identified in 19.6% of civets examined and an assortment of fleas and ticks including Haemophysalis leachi, Rhipicephalus and Amblyoma spp were found on the body. Trypanosoma congolense and Babesia felis were identified in blood smears taken from four animals. This study shows there is an urgent need to invest in research into improving the welfare, husbandry and health of civets, as well as providing educational programmes for those who farm these animals.