DHHS publication no. (SMA).

Vols. for issued as Treatment improvement protocol (TIP) series; vols. for issued as Advance report.Series consists of publications by the Substance Abuse and Mental Health Services Administration.Mode of access: Internet

Nivel de conocimientos de estudiantes de medicina sobre diagnóstico y manejo del infarto agudo del miocardio

Introduction: acute myocardial infarction is a disease with high morbidity and mortality.Objective: to determine the knowledge level of medical students about the diagnosis and management of acute myocardial infarction.Method: an observational, descriptive and cross-sectional study was carried out between January and February 2022 in medical students from the University of Medical Sciences of Pinar del Río who participated in the provincial update workshop on acute myocardial infarction. Through intentional sampling, a sample of 92 students was selected. To collect the information, a survey was used using Google Forms.Results: the female sex (65,21%), the age group from 21 to 22 years (65,21%) and the fourth-year students (50%) prevailed. Hypertension was the most identified risk factor (97,98%). 97,82% of the students identified precordial pain as the main clinical manifestation. 100% identified the presentation with complications, where sudden death was the most identified (81,52%). 100% point to the electrocardiogram as the main complementary, where ST alterations were the most identified (84,78%). 95,65% of the students indicated constant monitoring of vital parameters and cardiovascular function as the management measure.Conclusions: Medicine students belonging to the clinical area at the University of Medical Sciences of Pinar del Río have an adequate level of knowledge about the diagnosis and management of acute myocardial infarction.Introducción: el infarto agudo del miocardio constituye una enfermedad con elevada morbilidad y mortalidad.Objetivo: determinar el nivel de conocimientos de estudiantes de medicina sobre el diagnóstico y manejo del infarto agudo del miocardioMétodo: se realizó un estudio observacional, descriptivo y transversal entre enero y febrero de 2022 en estudiantes de Medicina de la Universidad de Ciencias Médicas de Pinar del Río del ciclo clínico que participaron en el Taller provincial de actualización sobre infarto agudo de miocardio. Mediante un muestreo intencional se seleccionó una muestra de 92 estudiantes. Para la recolección de la información se empleó una encuesta mediante Google Forms.Resultados: predominó el sexo femenino (65,21 %), el grupo etario de 21 a 22 años (65,21 %) y los estudiantes de cuarto año (50 %). La hipertensión fue el factor de riesgo más identificado (97,98 %). El 97,82 % de los estudiantes identificó el dolor precordial como principal manifestación clínica. El 100 % identificó la presentación con complicaciones, donde la muerte súbita fue la más identificada (81,52 %). El 100 % señala al electrocardiograma como principal complementario, donde las alteraciones del ST fueron las más identificada (84,78 %). El 95,65 % de los estudiantes indicaron la monitorización constante de los parámetros vitales y función cardiovascular como la medida de manejo.Conclusiones: los estudiantes de Medicina pertenecientes al área clínica en la Universidad de Ciencias Médicas de Pinar del Río poseen un adecuado nivel de conocimientos sobre el diagnóstico y manejo del infarto agudo del miocardio.  

Past-Year Acute Behavioral Health Care Utilization Among Individuals With Mental Health Disorders: Results From the 2008 National Survey on Drug Use and Health

Objective: Prevalence and correlates of past-year acute behavioral health care use were examined. Methods: Data are from the 2008 National Survey on Drug Use and Health (N = 10,069 adults with behavioral health disorders). Associations between past-year acute behavioral health care use and factors related to health care use were examined through bivariate and logistic regression analyses per Andersen\u27s behavioral model of health services utilization. Results: Five percent of those with a behavioral health disorder used acute behavioral health care services. Several variables were significantly associated with acute care use in the final logistic regression model (R 2 = .179, p \u3c .0001). Individuals with co-occurring mental illness and substance use disorders (OR = 2.58), severe mental illness (OR = 2.89), and co-occurring severe mental illness and substance use disorders (OR = 4.15) were more likely to utilize acute behavioral health care services compared to those with non-severe mental illness only. Individuals with only one type of behavioral health disorder were most likely to receive services targeting only that area of need. However, the majority of those with co-occurring disorders (i.e., \u3e 80%) received acute care for only one of their behavioral health disorders. Those with any past-year criminal justice involvement (OR = 3.19) were also significantly more likely to receive acute behavioral care in the past year. Conclusions: Individuals with co-occurring disorders have the highest rates of acute behavioral health care service utilization. Treatment for both conditions is rarely obtained in acute care facilities, supporting the need for better integration of care in these settings