Suicide risk among inpatients at a university general hospital Risco de suicídio em pacientes internados em um hospital geral universitário

OBJECTIVE: To estimate the proportion of inpatients at a university general hospital who are at risk of committing suicide. METHOD: A random sample of 253 patients (57% males) aged 18 years old or older, admitted to surgical and clinical wards, was assessed using the the Mini International Neuropsychiatric Interview, which has a section that evaluates the risk for suicide. Uni- and multivariate analyses were performed. RESULTS: There were 58 (23%) patients with a risk for suicide, 13 (5% of total) of whom presented a high risk. The prevalence of suicide risk was greater in young adult patients, those with no matrimonial relationship and those diagnosed with major depression (univariate analysis, Chi-squared test; p = 0.01, 0.03 and 0.0001, respectively). The multivariate analysis revealed that the risk for suicide in individuals younger than 30 years old was two fold higher than in those individuals between the ages of 30 and 59 years (OR = 0.45, 95% CI = 0.22-0.93; p = 0.03) and four fold greater than in those who were 60 years old or older (OR = 0.25, 95% CI = 0.1-0.64; p = 0.004). CONCLUSION: When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.<br>OBJETIVO: Estimar a proporção de pacientes internados em um hospital geral universitário que têm risco de suicídio. MÉTODO: Uma amostra aleatória de 253 pacientes (57% do sexo masculino) com 18 anos ou mais, internados em enfermarias clínicas e cirúrgicas, foi avaliada por meio do Mini International Neuropsychiatric Interview, o qual possui uma seção que avalia risco de suicídio. Foram realizadas analises uni e multivariadas. RESULTADOS: Cinqüenta e oito (23%) pacientes tinham risco de suicídio, 13 dos quais (5% do total) risco elevado. A prevalência de risco de suicídio foi maior em adultos jovens, nos que não tinham vínculo matrimonial e nos que tiveram um diagnóstico de depressão maior (análise univariada, teste do Qui-quadrado; p = 0,01; 0,03 e 0,0001, respectivamente). A análise multivariada revelou que o risco para o grupo de indivíduos abaixo dos 30 anos de idade era duas vezes maior do que o de indivíduos entre 30 e 59 anos (RC = 0,45, IC 95% = 0,22-0,93; p = 0,03) e quatro vezes maior do que o de indivíduos de 60 anos ou mais (RC = 0,25, IC 95% = 0,1-0,64; p = 0,004). CONCLUSÃO: Pacientes adultos jovens internados devem receber especial atenção devido à maior freqüência de risco suicida

Risco de suicídio em pacientes internados em um hospital geral universitário

OBJECTIVE: To estimate the proportion of inpatients at a university general hospital who are at risk of committing suicide. METHOD: A random sample of 253 patients (57% males) aged 18 years old or older, admitted to surgical and clinical wards, was assessed using the the Mini International Neuropsychiatric Interview, which has a section that evaluates the risk for suicide. Uni- and multivariate analyses were performed. RESULTS: There were 58 (23%) patients with a risk for suicide, 13 (5% of total) of whom presented a high risk. The prevalence of suicide risk was greater in young adult patients, those with no matrimonial relationship and those diagnosed with major depression (univariate analysis, Chi-squared test; p = 0.01, 0.03 and 0.0001, respectively). The multivariate analysis revealed that the risk for suicide in individuals younger than 30 years old was two fold higher than in those individuals between the ages of 30 and 59 years (OR = 0.45, 95% CI = 0.22-0.93; p = 0.03) and four fold greater than in those who were 60 years old or older (OR = 0.25, 95% CI = 0.1-0.64; p = 0.004). CONCLUSION: When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.OBJETIVO: Estimar a proporção de pacientes internados em um hospital geral universitário que têm risco de suicídio. MÉTODO: Uma amostra aleatória de 253 pacientes (57% do sexo masculino) com 18 anos ou mais, internados em enfermarias clínicas e cirúrgicas, foi avaliada por meio do Mini International Neuropsychiatric Interview, o qual possui uma seção que avalia risco de suicídio. Foram realizadas analises uni e multivariadas. RESULTADOS: Cinqüenta e oito (23%) pacientes tinham risco de suicídio, 13 dos quais (5% do total) risco elevado. A prevalência de risco de suicídio foi maior em adultos jovens, nos que não tinham vínculo matrimonial e nos que tiveram um diagnóstico de depressão maior (análise univariada, teste do Qui-quadrado; p = 0,01; 0,03 e 0,0001, respectivamente). A análise multivariada revelou que o risco para o grupo de indivíduos abaixo dos 30 anos de idade era duas vezes maior do que o de indivíduos entre 30 e 59 anos (RC = 0,45, IC 95% = 0,22-0,93; p = 0,03) e quatro vezes maior do que o de indivíduos de 60 anos ou mais (RC = 0,25, IC 95% = 0,1-0,64; p = 0,004). CONCLUSÃO: Pacientes adultos jovens internados devem receber especial atenção devido à maior freqüência de risco suicida.515

Suicide Risk Among Inpatients At A University General Hospital.

To estimate the proportion of inpatients at a university general hospital who are at risk of committing suicide. A random sample of 253 patients (57% males) aged 18 years old or older, admitted to surgical and clinical wards, was assessed using the the Mini International Neuropsychiatric Interview, which has a section that evaluates the risk for suicide. Uni- and multivariate analyses were performed. There were 58 (23%) patients with a risk for suicide, 13 (5% of total) of whom presented a high risk. The prevalence of suicide risk was greater in young adult patients, those with no matrimonial relationship and those diagnosed with major depression (univariate analysis, Chi-squared test; p = 0.01, 0.03 and 0.0001, respectively). The multivariate analysis revealed that the risk for suicide in individuals younger than 30 years old was two fold higher than in those individuals between the ages of 30 and 59 years (OR = 0.45, 95% CI = 0.22-0.93; p = 0.03) and four fold greater than in those who were 60 years old or older (OR = 0.25, 95% CI = 0.1-0.64; p = 0.004). When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.2951-

Kesahan dan Kebolehpercayaan Instrumen Mediasi Pengasuhan dan Gaya Keibubapaan Terhadap Pengasuhan Digital

Artikel ini membincangkan mengenai kesahan dan kebolehpercayaan instrumen untuk tujuan penilaian soal selidik kajian. Kesemua item dibina berdasarkan teori dan tinjauan literatur yang telah diperolehi dari dalam dan luar negara. Hasil kajian ini telah menghasilkan tujuh dimensi penting dalam melaksanakan pengasuhan digital ke atas perkembangan kanak-kanak menerusi dimensi mediasi aktif, mediasi sekatan, penggunaan bersama, membimbing, autoritarian, autoritatif dan permisif. Seramai tiga orang pakar telah terlibat sebagai penilai kesahan luaran, kesahan muka, dan kesahan kandungan. Hasil kebolehpercayaan instrumen kajian ini diukur dengan menggunakan kaedah ketekalan dalaman Cronbach’s Alpha yang berada antara 0.7 dan 0.9. Manakala, kaedah pengukuran kuantitatif menerusi analisis awal dilakukan dengan menggunakan ujian Kaiser-Mayer Olkin (KMO) dan Bartlett’s Test of Sphericity bagi menilai item-item tersebut sama ada perlu dikekalkan atau digugurkan. Pendekatan ini membenarkan penyingkiran item yang tidak mengikut syarat diagnosis yang telah dilakukan. Hasil analisis terakhir menunjukkan bahawa sebanyak 8 daripada 70 item telah digugurkan dan item selebihnya iaitu 62 item dikenal pasti sesuai untuk digunakan bagi mengukur dua konstruk iaitu mediasi pengasuhan dan gaya keibubapaan terhadap pengasuhan digital. Kajian rintis pula telah dilaksanakan terhadap 38 orang responden. Mereka terdiri daripada ibu bapa yang mempunyai anak seawal usia enam bulan hingga lima tahun di Taska dan Tadika Al-Fateh Sinar Genius, Putrajaya. Hasil kajian mendapati bahawa kesemua item yang dibina telah memenuhi ciri-ciri pengukuran sesebuah instrumen dan boleh digunakan sebagai alat untuk mengukur dalam pelaksanaan mediasi pengasuhan dan gaya keibubapaan terhadap pengasuhan digital ke atas perkembangan kanak-kanak. Kata kunci: Kesahan dan kebolehpercayaan, instrumen, pengasuhan digital, mediasi pengasuhan, gaya keibubapaan.</jats:p

A seroepidemiologic study of Reston ebolavirus in swine in the Philippines

Abstract Background Ebola viruses cause viral hemorrhagic fever in humans and non-human primates and are endemic in Africa. Reston ebolavirus (REBOV) has caused several epizootics in cynomolgus monkeys (Macaca fascicularis) but is not associated with any human disease. In late 2008, REBOV infections were identified in swine for the first time in the Philippines. Methods A total of 215 swine sera collected at two REBOV-affected farms in 2008, in Pangasinan and Bulacan, were tested for the presence of REBOV-specific antibodies using multiple serodiagnosis systems. A total of 98 swine sera collected in a non-epizootic region, Tarlac, were also tested to clarify the prevalence of REBOV infection in the general swine population in the Philippines. Results Some 70 % of swine sera at the affected farms were positive for REBOV antibodies in the multiple serodiagnosis systems. On the other hand, none of the swine sera collected in Tarlac showed positive reactions in any of the diagnosis systems. Conclusions The high prevalence of REBOV infection in swine in the affected farms in 2008 suggests that swine is susceptible for REBOV infection. The multiple serological assays used in the study are thought to be useful for future surveillance of REOBV infection in swine in the Philippines.</p