Use of an electronic metabolic monitoring form in a mental health service - A retrospective file audit

Background: People with severe mental illness have poorer physical health, experience disparities in physical health care, and lead significantly shorter lives, compared to the general population. Routine metabolic monitoring is proposed as a method of identifying risk factors for metabolic abnormalities. Efforts to date suggest routine metabolic monitoring is both incomplete and ad-hoc, however. This present study reports on the recent implementation of a routine metabolic monitoring form at a mental health service in regional Australia. Methods: A retrospective file audit was undertaken on 721 consumers with electronic health records at the mental health service. Descriptive statistics were used to report the frequency of use of the metabolic monitoring form and the range of metabolic parameters that had been recorded. Results: Consumers had an average age of 41.4 years (SD = 14.6), over half were male (58.4 %), and the most common psychiatric diagnosis was schizophrenia (42.3 %). The metabolic monitoring forms of 36 % of consumers contained data. Measurements were most commonly recorded for weight (87.4 % of forms), height (85.4 %), blood pressure (83.5 %), and body mass index (73.6 %). Data were less frequently recorded for lipids (cholesterol, 56.3 %; low density lipoprotein, 48.7 %; high density lipoprotein, 51.7 %; triglycerides, 55.2 %), liver function (alanineaminotransferase, 66.3 %; aspartate aminotransferase, 65.5 %; gamma-glutamyl transpeptidase, 64.8 %), renal function (urea, 66.3 %; creatinine, 65.9 %), fasting blood glucose (60.2 %), and waist circumference (54.4 %). Conclusions: The metabolic monitoring forms in consumer electronic health records are not utilised in a mannerthat maximises their potential. The extent of the missing data suggests that the metabolic health of most consumers may not have been adequately monitored. Addressing the possible reasons for the low completion rate has the potential to improve the provision of physical health care for people with mental illness

Analysis of Foreign Trade with the Main Categories of Agro-Food Products, Parallel Romania - Italy

This paper aims to study the dynamics and structure of foreign trade in agro-food products according to the combined nomenclature of Romania and Italy. In this regard, with the help of statistical data taken from databases: the National Institute of Statistics, for Romania, and the International Trade Center, for Italy, the dynamics of exports, imports, and, at the same time, the trade balance were analysed. The degree of concentration of both imported and exported products was further analysed to determine whether or not there was a concentration on a particular chapter of the Combined Nomenclature

Does Social Presence or the Potential for Interaction reduce Social Gaze in Online Social Scenarios? Introducing the "Live Lab" paradigm.

Research has shown that people’s gaze is biased away from faces in the real-world but towards them when they are viewed onscreen. Non-equivalent stimulus conditions may have represented a confound in this research however, as participants viewed onscreen stimuli as pre-recordings where interaction was not possible, compared to real-world stimuli which were viewed in real-time where interaction was possible. We assessed the independent contributions of online social presence and ability for interaction on social gaze by developing the “live lab” paradigm. Participants in three groups (N = 132) viewed a confederate either as a) a live webcam stream where interaction was not possible (one-way), b) a live webcam stream where an interaction was possible (two-way) or c) as a prerecording. Potential for interaction, rather than online social presence, was the primary influence on gaze behaviour: Participants in the pre-recorded and one-way conditions looked more to the face than those in the two-way condition, particularly when the confederate made “eye contact”. Fixation durations to the face were shorter when the scene was viewed live, particularly during a bid for eye contact Our findings support the dual function of gaze, but suggest that online social presence alone is not sufficient to activate social norms of civil inattention. Implications for the reinterpretation of previous research are discussed

A comparison of sacral neuromodulation vs. transvaginal electrical stimulation for the treatment of refractory overactive bladder: The impact on quality of life, body image, sexual function, and emotional well-being

Overactive bladder syndrome (OAB) is defined by the presence of urinary urgency, with or without urge incontinence, usually accompanied by an increase in urinary frequency and nocturia in the absence of urinary tract infections (UTI) or other diseases. The overall prevalence of OAB symptoms in the female population is reported to be 16.6% and increases with advancing age and menopause. The aetiology of OAB is not fully understood and is likely to affect a heterogeneous population of patients due to changes to their central and peripheral nervous systems. Although OAB is frequently associated with female sexual dysfunction (FSD), its real impact on sexual function in women has been evaluated only in a few studies. The first line of treatment for OAB includes behavioural modification and physical therapy, either as monotherapies or in combination. Many patients who have not had success in managing their symptoms with more conservative therapies may decide to resort to third-line treatments for refractory OAB. These treatments include neuromodulation therapies, particularly transvaginal electrical stimulation (TES) and sacral neuromodulation (SN). The aim of this short commentary is to provide an overview of the effectiveness of these treatments and of their impact on quality of life, body image, sexual function, and emotional well-being

A radio continuum survey of the southern sky at 1420 MHz. Observations and data reduction

We describe the equipment, observational method and reduction procedure of an absolutely calibrated radio continuum survey of the South Celestial Hemisphere at a frequency of 1420 MHz. These observations cover the area 0h < R.A. < 24h for declinations less than -10 degree. The sensitivity is about 50 mK T_B (full beam brightness) and the angular resolution (HPBW) is 35.4', which matches the existing northern sky survey at the same frequency.Comment: 9 pages with 9 figures, A&A, in pres

Analysis of the thin layer of Galactic warm ionized gas in the range 20 < l < 30 deg, -1.5 < b < +1.5 deg

We present an analysis of the thin layer of Galactic warm ionized gas at an angular resolution ~ 10'. This is carried out using radio continuum data at 1.4 GHz, 2.7 GHz and 5 GHz in the coordinate region 20 < l < 30 deg, -1.5 < b < +1.5 deg. For this purpose, we evaluate the zero level of the 2.7 and 5 GHz surveys using auxiliary data at 2.3 GHz and 408 MHz. The derived zero level corrections are T_{zero}(2.7 GHz)=0.15 +/- 0.06 K and T_{zero}(5 GHz)=0.1 +/- 0.05 K. We separate the thermal (free-free) and non-thermal (synchrotron) component by means of a spectral analysis performed adopting an antenna temperature spectral index -2.1 for the free-free emission, a realistic spatial distribution of indices for the synchrotron radiation and by fitting, pixel-by-pixel, the Galactic spectral index. We find that at 5 GHz, for |b| = 0 deg, the fraction of thermal emission reaches a maximum value of 82%, while at 1.4 GHz, the corresponding value is 68%. In addition, for the thermal emission, the analysis indicates a dominant contribution of the diffuse component relative to the source component associated with discrete HII regions.Comment: 9 pages, 9 figures, accepted to MNRA

A polarized synchrotron template for CMBP experiments after WMAP data

We build template maps for the polarized Galactic--synchrotron emission on large angular scales (FWHM =~7$^\circ$), in the 20-90 GHz microwave range, by using WMAP data. The method, presented in a recent work, requires a synchrotron total intensity survey and the {\it polarization horizon} to model the polarized intensity and a starlight polarization map to model polarization angles. The basic template is obtained directly at 23 GHz with about 94% sky--coverage by using the synchrotron map released by the WMAP team. Extrapolations to 32, 60 and 90 GHz are performed by computing a synchrotron spectral index map, which strongly reduces previous uncertainties in passing from low (1.4 GHz) to microwave frequencies. Differing from low frequency data, none of our templates presents relevant structures out of the Galactic Plane. Our map at 90 GHz suggests that the synchrotron emission at high Galactic latitudes is low enough to allow a robust detection of the $E$--mode component of the cosmological signal on large--scale, even in models with low--reionization ($\tau = 0.05$). Detection of the weaker $B$--mode on the largest scales ($\ell < 10$) might be jeopardized unless the value $\tau = 0.17$ found by WMAP is confirmed, and $T/S > 0.1$. For lower levels of the gravitational--wave background the $B$--mode seems to be accessible only at the $\ell \sim 100$ peak and in selected low--synchrotron emission areas.Comment: 13 pages, 14 figures, accepted for pubblications by MNRAS. For a version with full resolution color figures see http://sp0rt.bo.iasf.cnr.it:8080/Docs/Public/papers.ph