The Mental Healthcare Act 2017 of India: A challenge and an opportunity.
The Mental Healthcare Act 2017 of India: A challenge and an opportunity. Asian J Psychiatr. 2019 Jul 08;44:25-28 Authors: Namboodiri V, George S, Singh SP Abstract The Mental Healthcare Act 2017 replaced the Mental Health Act 1987, subsequent to India's ratification of the United Nations Convention on the Rights of Persons with Disabilities in 2007. The Mental Healthcare Act (MHCA) 2017 upholds patient autonomy, dignity, rights and choices during mental healthcare and thus marks a bold step in India's mental health legislation. This new Law marks a major shift in the way mental healthcare is delivered, as it aims to protect and promote the rights of people during the delivery of mental healthcare. Within this Act, a capacitous individual cannot be coerced into receiving treatment for mental illness and inpatient admissions can be 'independent' or 'supported'. 'Supported admission' replaces involuntary admission from the previous legislation. State mental health authorities and mental health review boards will play a major role in the implementation of the new Act. The Mental Healthcare Act 2017 is aimed at bringing about radical transformation to mental healthcare in India. PMID: 31302439 [PubMed - as supplied by publisher]
Objectives: (1) To assess the correlation of psychosocial factors and long-term outcomes of proximal humerus fractures all in surgical repair; (2) to identify specific psychosocial factors with favorable and unfavorable outcomes; and (3) to assess the correlation between DSM-V mental health diagnoses and long-term Disabilities of Arm, Shoulder, and Hand (DASH) scores. Design: Prospective cohort study. Setting: Academic medical center. Patients: Patients were screened and identified on presentation to the emergency department or in the clinical office for inclusion in an institutional review board–approved ...
Publication date: September 2019Source: Research in Developmental Disabilities, Volume 92Author(s): Jo Van Herwegen, Olympia Palikara
Peripheral artery disease (PAD) has been shown to affect health status and quality of life; however, the disability associated by specific anatomic level of disease is unknown. We evaluated patients presenting with claudication by anatomic level and used the Peripheral Artery Questionnaire (PAQ), a validated tool for PAD, to quantify patients' symptoms, function, treatment satisfaction, and quality of life.
CONCLUSIONS: We confirm that homeless people often suffer from cognitive difficulties, and some of these difficulties (memory, executive functioning) are severe. Yet the etiology of these disorders remain relatively unknown: even if we observe a high prevalence of psychiatric, substance-related, neurodevelopmental and neurological issues by the homeless population, only a few of them (brain injury history and childhood trauma) seem to be correlated with cognition in homelessness. The potential explicative factors have been too rarely explored to bring a powerful explanation of cognitive disorders in homeless people. Furthe...
Authors: Kalogerakis Z, Petroutsou A, Chatzakis A, Ploumpidis D, Papageorgiou C, Economou M Abstract Psychosocial rehabilitation for people with chronic-severe mental illness mainly aims to social integration by restoring independent functioning in the community, improving quality of life, and addressing risk factors that lead to social disability. Support groups (SG) are usually part of this multilevel mental health process. Given that non-adherence to treatment is a common phenomenon in people with chronic- severe mental illness, the aim of the current study was to identify which factors influence members' attend...
Background: Chronic wounds, including diabetic ulcers, venous ulcers, and pressure ulcers, are characterized by physiological impairments manifested by delayed healing, leading in some cases to permanent disability and increased morbidity. Delay in wound healing is multifactorial; it can be attributed to excessive inflammation, fibroblast senescence, alterations in wound bed flora, and other exposures. Herein we sought to evaluate clinicopathological characteristics that contribute to prolonged healing times in chronic nonhealing wounds.
Background: Phototherapy is a treatment prescribed in different dermatological conditions, mainly in which topical treatments are insufficient due to extension, localization, severity, disability or affection in quality of life. However, it is rarely used in the pediatric age in our environment, possibly due to the lack of knowledge and/or training by dermatologists and the fear of possible adverse effects. We wanted to identify the type of phototherapy implemented in children and keep records of our own statistics.
Background: Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the folliculopilosebaceous units. It is characterized by recurrent inflammatory nodules that may progress to draining sinuses with scar formation. HS often results in severe pain, disability, and disfigurement. It appears that genes play a role in HS, with an estimated 40% of patients having an affected first-degree family member. Research on a few families documents an autosomal dominant pattern of inheritance, but HS remains poorly understood without any large-scale genetic evaluations to date.
The purpose of this study is to appraise Global Burden of Disease (GBD) and PatientsLikeMe.com (PLM) databases for the evaluation of dermatologic disease. Utilizing the GBD results tool [http://ghdx.healthdata.org/gbd-results-tool], incidence and prevalence data was extracted. In PLM, total number of subscribers for each disease and male/female distribution were assessed. Diseases analyzed were of the top fourteen diseases with the highest disability-adjusted life-year. As of September 2018, there were 658,183 total members on PLM and 7.1x109 total diagnoses reported by the GBD.
Condition: Hearing Disability Interventions: Behavioral: Audiological rehabilitation; Behavioral: Placebo Rehabilitation Sponsors: Universitaire Ziekenhuizen Leuven; KU Leuven Recruiting