Editorial Group: a Long-term Rehabilitation Approach Developed at SC Psichiatria, Maggiore Della Carita Hospital in Novara

Introduction Our Psychiatry Ward offers several group activities to both inpatients and outpatients. Among these, the Editorial Group involves only outpatients (who had been previously admitted to the Psychiatry Ward as inpatients) in fair psychopathological compensation, carefully selected for this long-term rehabilitation approach. Aims To describe the Editorial Group activity. Methods The Editorial Group meets once a week at the Psychiatry Ward. It involves patients, nurses and a group leader who is a Psychiatrist. The psychiatrists' and nurses' role is to facilitate the group process and the exploration of the topics discussed. Members are encouraged to discuss their opinions about tales, movies and books; to share poems, paintings, photographs. The aim of this process is to eventually develop a Ward magazine which is published quarterly. Results Members' commitment is extended beyond the weekly meeting hour of the group; indeed, we have observed that patients in their free time spontaneously decide to spend time collecting material to share and drawing up the articles, which are assigned according to patients' aptitudes and preferences. A continued commitment to share daily life experiences and to express creativity, helps patients get involved in the Group, and eventually leads to something concrete and valuable to share with others, also beyond the Group. Both the leader and the other equipe members help patients listening to each others' opinions, ideas and personal experiences. Conclusions The Editorial Group helps patients improving emotional and relational skills, and stimulates cognitive resources. Moreover, it enhances creativity, promotes collaboration and stimulates curiosity

Clinical characteristics associated with suicide attempts in clinical settings: A comparison of suicidal and non-suicidal depressed inpatients

INTRODUCTION: Both psychiatrists and psychiatric nurses are involved in the psychiatric management of suicidal inpatients. One-to-one observation by qualified nurses and the accommodation of the patient in a room close to the infirmary are usually recommended. Suicidal risk should be reassessed periodically to check response to treatment. AIM: To compare the severity of depressive symptoms in depressed inpatients admitted after an attempted suicide and those admitted for any other reason and to assess the severity of suicide attempts and the management of suicidal risk in clinical settings. MATERIALS AND METHODS: We divided the sample into two subgroups: patients with a diagnosis of depression admitted because of a recent suicide attempt and depressed patients with no recent history of attempted suicide. Socio-demographic and clinical data were gathered; assessments included the Montgomery-Asberg Depression Rating Scale and the Nurses’ Global Assessment of Suicide Risk (NGASR). RESULTS: Forty-six patients were recruited over a 1-year period: 20 were admitted to the hospital following a suicide attempt; the other 26 had not attempted suicide and were admitted for other depression-related reasons. Multivariate analysis revealed a correlation between use of antidepressants and recent attempted suicide. Attempting suicide was not related to the severity of depressive symptoms. In the recent suicide attempt subgroup, NGASR suicide risk levels were lower at discharge than at admission. Patients with a recent history of attempted suicide had a higher number of suicide attempts in their clinical history than patients with no recent history of attempted suicide. CONCLUSION: There were no correlations between psychiatric diagnosis, severity of depressive symptoms, and recent suicide attempt. Antidepressant therapy protected against suicide attempts. History of suicide attempts was one of the best predictors of recent attempted suicide. A more thorough understanding of the complex phenomenon of suicide and the reasons for suicidal behavior is needed

Epidemiology and mortality of the multidrug resistant gram-negative bloodstream infection in acute myeloid leukemia

Universidade Federal de São Paulo, Escola Paulista Med, Infectol Dept, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Hematol, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Infectol Dept, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Dept Hematol, São Paulo, BrazilWeb of Scienc

Application and comparison of Kalman filters for coastal ocean problems : an experiment with FVCOM

Author Posting. © American Geophysical Union, 2009. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 114 (2009): C05011, doi:10.1029/2007JC004548.Twin experiments were made to compare the reduced rank Kalman filter (RRKF), ensemble Kalman filter (EnKF), and ensemble square-root Kalman filter (EnSKF) for coastal ocean problems in three idealized regimes: a flat bottom circular shelf driven by tidal forcing at the open boundary; an linear slope continental shelf with river discharge; and a rectangular estuary with tidal flushing intertidal zones and freshwater discharge. The hydrodynamics model used in this study is the unstructured grid Finite-Volume Coastal Ocean Model (FVCOM). Comparison results show that the success of the data assimilation method depends on sampling location, assimilation methods (univariate or multivariate covariance approaches), and the nature of the dynamical system. In general, for these applications, EnKF and EnSKF work better than RRKF, especially for time-dependent cases with large perturbations. In EnKF and EnSKF, multivariate covariance approaches should be used in assimilation to avoid the appearance of unrealistic numerical oscillations. Because the coastal ocean features multiscale dynamics in time and space, a case-by-case approach should be used to determine the most effective and most reliable data assimilation method for different dynamical systems.P. Malanotte-Rizzoli and J. Wei were supported by the Office of Naval Research (ONR grant N00014-06-1- 0290); C. Chen and Q. Xu were supported by the U.S. GLOBEC/Georges Bank program (through NSF grants OCE-0234545, OCE-0227679, OCE- 0606928, OCE-0712903, OCE-0726851, and OCE-0814505 and NOAA grant NA-16OP2323), the NSF Arctic research grants ARC0712903, ARC0732084, and ARC0804029, and URI Sea Grant R/P-061; P. Xue was supported through the MIT Sea Grant 2006-RC-103; Z. Lai, J. Qi, and G. Cowles were supported through the Massachusetts Marine Fisheries Institute (NOAA grants NA04NMF4720332 and NA05NMF4721131); and R. Beardsley was supported through U.S. GLOBEC/Georges Bank NSF grant OCE-02227679, MIT Sea Grant NA06OAR1700019, and the WHOI Smith Chair in Coastal Oceanography