Relevant bibliographies by topics / Massachusetts. Department of Mental Diseases

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Massachusetts. Department of Mental Diseases'

Author: Grafiati
Published: 24 February 2023
Last updated: 25 February 2023

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Journal articles on the topic "Massachusetts. Department of Mental Diseases"

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Benedict, Alice R., and Michael J. Saks. "The Regulation of Professional Behavior: Electroconvulsive Therapy in Massachusetts." Journal of Psychiatry & Law 15, no. 2 (June 1987): 247–75. http://dx.doi.org/10.1177/009318538701500207.

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This study concerned the regulation of professional behavior. Several sources of regulation were examined to see if and how they succeeded in directing psychiatrists' administration of electroconvulsive therapy (ECT). Archival data from the Massachusetts Department of Mental Health were used to compare professional behavior with scientific evidence and professional consensus in four areas of ECT administration. Results show that approximately 90% of ECT patients received treatment inappropriately, suggesting that the regulation of ECT administration is ineffective. A survey of psychiatrists suggests that some forms of regulation have not been implemented while those regulations which do exist convey little information to inform the behavior of psychiatrists and are, consequently, ineffective. Psychiatrists' behavior was, however, related to their attention to the medical literature.
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Tumpney, Matthew, Betsey John, Nivedha Panneer, R. Paul McClung, Ellsworth M. Campbell, Kathleen Roosevelt, Alfred DeMaria, et al. "Human Immunodeficiency Virus (HIV) Outbreak Investigation Among Persons Who Inject Drugs in Massachusetts Enhanced by HIV Sequence Data." Journal of Infectious Diseases 222, Supplement_5 (September 2, 2020): S259—S267. http://dx.doi.org/10.1093/infdis/jiaa053.

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Abstract Background The Massachusetts Department of Public Health and the Centers for Disease Control and Prevention collaborated to characterize a human immunodeficiency virus (HIV) outbreak in northeastern Massachusetts and prevent further transmission. We determined the contributions of HIV sequence data to defining the outbreak. Methods Human immunodeficiency virus surveillance and partner services data were analyzed to understand social and molecular links within the outbreak. Cases were defined as HIV infections diagnosed during 2015–2018 among people who inject drugs with connections to northeastern Massachusetts or HIV infections among other persons named as partners of a case or whose HIV polymerase sequence linked to another case, regardless of diagnosis date or geography. Results Of 184 cases, 65 (35%) were first identified as part of the outbreak through molecular analysis. Twenty-nine cases outside of northeastern Massachusetts were molecularly linked to the outbreak. Large molecular clusters (75, 28, and 11 persons) were identified. Among 161 named partners, 106 had HIV; of those, 40 (38%) diagnoses occurred through partner services. Conclusions Human immunodeficiency virus sequence data increased the case count by 55% and expanded the geographic scope of the outbreak. Human immunodeficiency virus sequence and partner services data each identified cases that the other method would not have, maximizing prevention and care opportunities for HIV-infected persons and their partners.
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Pearlmutter, Mark D., Kristin H. Dwyer, Laura G. Burke, Niels Rathlev, Louise Maranda, and Greg Volturo. "Analysis of Emergency Department Length of Stay for Mental Health Patients at Ten Massachusetts Emergency Departments." Annals of Emergency Medicine 70, no. 2 (August 2017): 193–202. http://dx.doi.org/10.1016/j.annemergmed.2016.10.005.

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PERUSKI, A. H., P. KLUDT, R. S. PATEL, and A. DeMARIA. "Secular trends in invasive meningococcal disease, Massachusetts, 1988–2011: what happened to invasive disease?" Epidemiology and Infection 142, no. 12 (February 19, 2014): 2483–90. http://dx.doi.org/10.1017/s0950268814000259.

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SUMMARYInvasive meningococcal disease (IMD) reported to the Massachusetts Department of Public Health from 1988 to 2011 was reviewed. The average annual incidence of IMD/100 000 decreased from 1·57 [95% confidence interval (CI) 1·42–1·73] for 1988–1991 to 0·22 (95% CI 0·17–0·29) for 2008–2011. The pattern of decreasing incidence over time differed by age group. There was a decrease in IMD/100 000 in the 0–4 years age group after 1991 from 10·92 (95% CI 8·08–14·70) in 1991 to 5·76 (95% CI 3·78–8·72) in 1992. Incidence in the 0–4 years age group remained below 5/100 000 per year on average thereafter. A substantial reduction in incidence in all age groups was observed between 2000 and 2009, which began before the introduction of conjugate meningococcal vaccine in 2005. Marked reductions in incidence of IMD in Massachusetts, and elsewhere, deserve further investigation with respect to potential factors that go beyond the introduction and deployment of improved meningococcal vaccines.
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Mitra, Monika, Ilhom Akobirshoev, Susan L. Parish, Anne Valentine, Karen M. Clements, and Tiffany A. Moore Simas. "Postpartum emergency department use among women with intellectual and developmental disabilities: a retrospective cohort study." Journal of Epidemiology and Community Health 73, no. 6 (February 22, 2019): 557–63. http://dx.doi.org/10.1136/jech-2018-211589.

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BackgroundAn emerging body of evidence underscores the often-intensive perinatal healthcare needs of women with intellectual and developmental disabilities (IDD). However, population-based research examining postpartum experiences of US women with IDD is sparse. We examined emergency department (ED) use in the postpartum period among Massachusetts mothers with IDD.MethodsWe analysed 2002–2010 Massachusetts Pregnancy to Early Life Longitudinal data to compare any and ≥2 ED visits between mothers with and without IDD: within 1–42 days post partum, 1–90 days post partum and 1–365 days post partum. We also determined whether or not such ED use was non-urgent or primary-care sensitive.ResultsWe identified 776 births in women with IDD and 595 688 births in women without IDD. Across all three postpartum periods, women with IDD were vastly more likely to have any postpartum ED use, to have ≥2 ED visits and to have ED visits for mental health reasons. These findings persisted after controlling for numerous sociodemographic and clinical characteristics. Women with IDD were less likely to have non-urgent ED visits during the three postpartum periods and they were less likely to have primary-care sensitive ED visits during the postpartum period.ConclusionThese findings contribute to the emerging research on perinatal health and healthcare use among women with IDD. Further research examining potential mechanisms behind the observed ED visit use is warranted. High ED use for mental health reasons among women with IDD suggests that their mental health needs are not being adequately met.
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Freudenreich, O., F. Smith, J. Wozniak, M. Fava, and J. Rosenbaum. "The Psychiatric Morbidity and Mortality Teaching Conference to Improve Patient Safety: Lessons Learned at the Massachusetts General Hospital." European Psychiatry 41, S1 (April 2017): S298. http://dx.doi.org/10.1016/j.eurpsy.2017.02.180.

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IntroductionA morbidity and mortality (M&M) conference is a time-honored educational format in surgery and medicine to review bad patient outcomes and learn from mistakes made. However, despite the value of learning together as peers from difficult cases with unexpected outcomes, most psychiatric departments in the United States do not have an M&M conference. Several years ago, the department of psychiatry at Massachusetts's general hospital in Boston began a monthly M&M conference.ObjectivesDescribe our department's experience with the M&M format as an educational vehicle to teach patient safety and improve care in an increasingly complex care environment.AimsIntroduce the M&M format that we have developed at our department and obstacles encountered.MethodsWe reviewed the content of our four years of M&M conferences; the feedback received from participants after each conference; and changes introduced to improve the conference.ResultsOur department has successfully implemented and sustained a monthly psychiatric M&M conference that is well attended and valued. A critical decision was mandatory involvement of residents to prepare cases in conjunction with a dedicated faculty member. A structured presentation using a root cause analysis framework to guide the discussion in order to harness the wisdom of the group allows for a more comprehensive understanding of factors leading to bad outcomes, including systems-based problems.ConclusionsA psychiatric M&M conference can teach individual clinicians about patient safety. Developing a departmental mechanism to apply lessons learned in the conference to improve hospital systems is the next task.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Laramie, Angela K., Vivian C. Pun, Shona C. Fang, David Kriebel, and Letitia Davis. "Sharps Injuries among Employees of Acute Care Hospitals in Massachusetts, 2002–2007." Infection Control & Hospital Epidemiology 32, no. 6 (June 2011): 538–44. http://dx.doi.org/10.1086/660012.

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Objective.Sharps with engineered sharps injury protections (SESIPs) have been found to reduce risk of sharps injuries (Sis). We examined trends in SI rates among employees of acute care hospitals in Massachusetts, including the impact of SESIPs on SI trends during 2002-2007.Design.Prospective surveillance.Setting.Seventy-six acute care hospitals licensed by the Massachusetts Department of Public Health.Participants.Employees of acute care hospitals who reported Sis to their employers.Methods.Data on Sis in acute care hospitals collected by the Massachusetts Sharps Injury Surveillance System were used to examine trends in SI rates over time by occupation, hospital size, and device. Negative binomial regression was used to assess trends.Results.During 2002-2007, 16,158 Sis among employees of 76 acute care hospitals were reported to the surveillance system. The annual SI rate decreased by 22%, with an annual decline of 4.7% (P< .001). Rates declined significantly among nurses (—7.2% per year;P< .001) but not among physicians (—0.9% per year;P= .553). SI rates associated with winged steel needles and hypodermic needles and syringes also declined significantly as the proportion of injuries involving devices with sharps injury prevention features increased during the same time period.Conclusion.SI rates involving devices for which SESIPs are widely available and appear to be increasingly used have declined. The continued use of devices lacking SI protections for which SESIPs are available needs to be addressed. The extent to which injuries involving SESIPs are due to flaws in design or lack of experience and training must be examined.
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Klevens, Monina, Rebecca Roberts, and Melissa Cumming. "Peer Comparison Intervention to Improve Antibiotic Prescribing in Dentistry." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s345—s346. http://dx.doi.org/10.1017/ice.2020.960.

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Background: Dentists prescribe an estimated 13% of outpatient antibiotic courses, many of which may be unnecessary. Health departments are in a unique position to support implementation of antibiotic stewardship across healthcare facilities, including in dental offices. A customized peer comparison message with feedback regarding prescribing frequencies was effective in reducing inappropriate prescribing among primary care physicians in Massachusetts and California. We tested the effect of a peer comparison message for antibiotic prescribing on dentists in the Massachusetts Medicaid program. Methods: We analyzed data from September 2018 to July 2019 for prescriptions of antibiotic courses by dentists to identify the highest prescribing dentists. We used their national provider identifier (NPI) to deduplicate providers and we searched for addresses using the CMS online database. On March 25, 2019, the high prescribers were sent a hard copy letter from the Massachusetts Department of Public Health stating that they were “among the 1% of frequent prescribers.” In addition, the letter provided citations to professional guidelines and prescribing best practices and invited participation in health department–sponsored training for continuing education credits. We tracked the monthly number of antibiotics prescribed by provider before and after the mailing and compared those who received the letter (intervention) to those whose address was either out of state or undeliverable (comparison). Results: Prescribing records for 3,008 dentists were available from September 2018 through July 2019. Most (67%) prescribed <10 antibiotic courses in the 11-month period; the mean monthly antibiotic courses prescribed ranged from 1.2 to 1.6, and the median monthly prescriptions was 0. However, 33% prescribed 10–199 antibiotics, and 1% prescribed >200. Of these 28 comprising the highest 1% , 15 received the intervention letter. The others were either out of state (N = 3) or the letter was returned undelivered (N = 10). The average monthly number of antibiotic courses prescribed before the intervention was similar in the intervention and comparison groups (25.0 and 24.2, respectively). In the 4 months after the intervention, the average did not change in the intervention group but increased slightly in the comparison group (25.2 and 26.2, respectively). The intervention had no significant effect (P = .80). Conclusions: We observed no effect of this peer comparison message among a small sample of dentists in the Massachusetts Medicaid program. This finding may be due to multiple factors, including the small number of the targeted prescribers, the use of a relatively friendly message for communicating with the high prescribers, and the possibility that other forms of communication would be more effective.Funding: NoneDisclosures: None
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Schmiedhofer, Martina, Anna Slagman, Stella Linea Kuhlmann, Andrea Figura, Sarah Oslislo, Anna Schneider, Liane Schenk, Matthias Rose, and Martin Möckel. "Emergency Departments as Care Providers for Patients with Cardiac Ambulatory Care Sensitive and Mental Health Conditions: Qualitative Interview and Focus Group Study with Patients and Physicians." International Journal of Environmental Research and Public Health 19, no. 10 (May 17, 2022): 6098. http://dx.doi.org/10.3390/ijerph19106098.

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Mental health conditions are frequent among patients with somatic illnesses, such as cardiac diseases. They often remain undiagnosed and are related to increased utilization of outpatient services, including emergency department care. The objective of this qualitative study was to investigate the significance of the emergency department in the patients’ course of treatment and from the physicians’ perspective. An improved understanding of the subjective needs of this specific patient group should provide hints for targeted treatment. This study is part of the prospective EMASPOT study, which determined the prevalence of mental health conditions in emergency department patients with cardiac ambulatory care sensitive conditions. The study on hand is the qualitative part, in which 20 semi-structured interviews with patients and a focus group with six ED physicians were conducted. Data material was analyzed using the qualitative content analysis technique, a research method for systematically identifying themes or patterns. For interpretation, we used the “typical case approach”. We identified five “typical patient cases” that differ in their cardiac and mental health burden of disease, frequency and significance of emergency department and outpatient care visits: (1) frequent emergency department users with cardiac diseases and mental health conditions, (2) frequent emergency department users without cardiac diseases but with mental health conditions, (3) needs-based emergency department users with cardiac diseases; (4) targeted emergency department users as an alternative to specialist care and (5) patients surprised by initial diagnose of cardiac disease in the emergency department. While patients often perceived the emergency department visit itself as a therapeutic benefit, emergency department physicians emphasized that frequent examinations of somatic complaints can worsen mental health conditions. To improve care, they proposed close cooperation with the patients’ primary care providers, access to patients’ medical data and early identification of mental health conditions after cardiac diagnoses, e.g., by an examination tool.
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Zhu, Wei, and Weidong Pan. "Strengthening the Ability of General Hospital Neurology Departments to Treat Neuropsychiatric Diseases and Mental Disorders." Integrative Medicine International 4, no. 3-4 (August 23, 2018): 208–14. http://dx.doi.org/10.1159/000491998.

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Due to the “stigma” of neuropsychological and psychogenic disorders in China, patients with psychological and affective disorders mostly prefer to go to general hospitals or integrative medicine hospitals, while the majority of patients with mental disorders in the department of internal medicine are treated in the department of neurology. At present, there are few physicians with the ability to diagnose and treat neuropsychiatric diseases properly in the neurological department of general hospitals in China, and the diagnosis and treatment experience of mental diseases is insufficient. At the same time, the diagnosis and treatment of comorbid patients with internal diseases and mental disorders are more complicated. The psychology departments in general hospitals or mental health centers also have a limited ability to diagnose and treat comorbid diseases relating to internal medicine and mental disorders together. Therefore, this article reviews the current status of diagnosis and treatment of neuropsychiatric and mental disorders in general hospitals or integrative medicine hospitals.
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Dissertations / Theses on the topic "Massachusetts. Department of Mental Diseases"

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Leung, Yat (Gary) Hung. "Behavioral Health Disorders and the Quality of Diabetes Care: A Dissertation." eScholarship@UMMS, 2010. https://escholarship.umassmed.edu/gsbs_diss/456.

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Both diabetes and behavioral health disorders (mental and substance use disorders) are significant health issues in the United States. While previous studies have shown worse health outcomes in people with diabetes and co-occurring behavioral health disorders (BHDs) than those with diabetes alone, it is unclear whether the quality of diabetes care was poorer in the presence of co-occurring BHDs. Although previous research has observed a trend of positive outcomes in people with comprehensive diabetes care, there is a lack of evidence about whether that mode of care delivery can improve outcomes in people with co-occurring BHDs. Therefore, further studies are necessary. Using a combined dataset from Medicare and Medicaid claims for Massachusetts residents, this study compared the quality of diabetes care (e.g., having at least 1 hemoglobin A1c test) and diabetes outcomes (e.g., eye complications) among Medicare and Medicaid beneficiaries with diabetes and co-occurring BHDs to those with diabetes alone in Massachusetts in 2005. The results showed a mixed picture on the relationships between BHDs and diabetes outcomes. While substance use disorders had adverse impact on adherence to quality measures (e.g., 20% less likely to attain full adherence, p0.05). Findings from this dissertation research suggest that disparities exist in the quality of diabetes care and health outcomes between people with substance use disorders and those without. The mode of care delivery needs to be further examined so that interventions can be designed to improve the outcomes of people with diabetes.
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Books on the topic "Massachusetts. Department of Mental Diseases"

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Massachusetts. Department of Mental Health. Department of Mental Health facts and figures. Boston, Mass: Dept. of Mental Health, 1998.

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Massachusetts. General Court. House of Representatives. Committee on Post Audit and Oversight. Special report: Department of Mental Health patient treatment. Boston]: General Court of Massachusetts, Committee on Post Audit and Oversight, Post Audit and Oversight Bureau, 1989.

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Massachusetts. General Court. Senate. Committee on Post Audit and Oversight. Analysis of fiscal year 1989 Department of Mental Health allocations. Boston, Mass: The Bureau, 1990.

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Massachusetts. Department of Mental Health. Transition plan for the separation of the Department of Mental Health. Boston, Mass: Commonwealth of Massachusetts, Executive Office of Human Services, Dept. of Mental Health, 1987.

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Massachusetts. General Court. House of Representatives. Post Audit and Oversight Bureau. Preliminary review: Department of Mental Health client deaths and investigations. Boston, Mass: General Court of Massachusetts, House Committee on Post Audit and Oversight and the Post Audit and Oversight Bureau, 1997.

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Massachusetts. Dept. of Mental Retardation. Investigations Advisory Panel. Investigations Advisory Panel report for the Department of Mental Retardation. [Boston, Mass: Investigations Advisory Panel, Dept. of Mental Retardation], 1998.

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Massachusetts. General Court. Joint Special Commission on the Division of the Dept. of Mental Health. A report of the Joint Special Commission on the Division of the Department of Mental Health. Boston: The Commission, 1987.

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Massachusetts. Department of Mental Health. The Massachusetts Department of Mental Health plan to combat the stigma associated with mental illness. Boston]: The Dept., 1988.

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Taskforce, Critical Incident Reporting. Report on Massachusetts Department of Mental Health service recipient mortality (1991-1993). [Cambridge, Mass: Human Services Research Institute, 1996.

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Massachusetts. Department of the State Auditor. Independent State Auditor's report on the administration and oversight by the Departments of Public Health, Mental Health, and Mental Retardation of the Medication Administration Program at 48 community residences and 12 human service providers. Boston, Mass: Commonwealth of Massachusetts, Auditor of the Commonwealth, 2001.

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Book chapters on the topic "Massachusetts. Department of Mental Diseases"

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Packer, Ira K., and Thomas Grisso. "The Designated Forensic Professional Program in Massachusetts." In University and Public Behavioral Health Organization Collaboration in Justice Contexts, 30–44. Oxford University Press, 2021. http://dx.doi.org/10.1093/med-psych/9780190052850.003.0003.

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The Designated Forensic Professional Program in Massachusetts, a collaboration between the University of Massachusetts Medical School and the Massachusetts Department of Mental Health, was started in 1985 for the purpose of providing specialty training and certification to mental health professionals providing public-sector evaluations of competence to stand trial and criminal responsibility to the Massachusetts courts. The program initially certified only psychologists but was eventually expanded to include forensic psychiatrists as well. The approach involves intensive mentoring and supervision and serves as a national model for states wishing to train public sector mental health professionals in the delivery of specialized forensic evaluations.
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Saxena, Shekhar, Jeremy Kane, Noa Krawczyk, and Judith K. Bass. "Mental Health Systems Around the World." In Public Mental Health, 467–86. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190916602.003.0018.

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This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of system-level instruments and readily comparable global data to help guide international public mental health policy. The chapter includes selected data on mental health systems around the world and gives an overview of mental health–related activities by leading international agencies such as the World Health Organization (WHO) Department of Mental Health and Substance Abuse, the United Nations Interagency Task Force (UNIATF) on the Prevention and Control of Non-communicable Diseases, the United Nations International Children’s Educational Fund (UNICEF), the United Nations High Commissioner for Refugees (UNHCR), and a range of international research consortia. The presence or absence of mental health policy, the presence of law relevant to mental health, and the presence of mental health care facilities around the world are reviewed.
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Pears, Katherine C., and Jacqueline Bruce. "Neurobiological, Cognitive, and Behavioral Consequences of Child Maltreatment." In Cognitive and Behavioral Abnormalities of Pediatric Diseases. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195342680.003.0075.

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Child maltreatment is a serious public pediatric health problem that affected 900,000 children between the ages of 0 and 18 years in 2006; more than 1,500 of these children died as a result of abuse and neglect (United States Department of Health and Human Services [USDHHS] 2008). Survivors of maltreatment face cognitive, academic, social, and mental health consequences that may continue into adulthood (Springer et al. 2007; Widom et al. 2007). One recent study found that the mental health consequences of maltreatment were still apparent up to 40 years later (Springer et al. 2007). In addition to these human costs, the economic costs of maltreatment are high: approximately $103.8 billion in 2007, at least $6.6 billion of which was attributed to hospitalization alone (Wang and Holton 2007). The majority of child maltreatment occurs between the ages of 0 and 7 years, a period of extensive growth in the physical, cognitive, behavioral, and social domains, which might help to explain its long-lasting consequences. The highest rate of victimization occurs in children under the age of 1 year (24.4 per 1,000 children in 2006), followed by children between the ages of 1 and 3 years (14.2 per 1,000) and between 4 and 7 years (13.5 per 1,000; USDHSS 2008). Victimization rates decrease across the ages of 8–17 years. Boys and girls are almost equally likely to be victims of maltreatment; in 2006, 48% of children who were maltreated were boys (52% girls). Ethnic minority children are at the highest risk for maltreatment, with African American children, Native American/Alaska Native children, and children of multiple ethnicities showing the highest rates of maltreatment (19.8, 15.9, and 15.4 per 1,000 children of the same ethnic groups, respectively). It should be noted that all of these rates are based on reports of maltreatment and, thus, cannot account for maltreatment that is not reported to authorities. Another potential reason that the effects of child maltreatment might be long-lasting (and varied) is that maltreatment is not a homogenous experience.
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Mariotto, Sara, Silvia Bozzetti, Maria Elena De Rui, Fulvia Mazzaferri, Andrew McKeon, and Sergio Ferrari. "Altered Mental Status During the COVID-19 Pandemic." In Mayo Clinic Cases in Neuroimmunology, edited by Andrew McKeon, B. Mark Keegan, and W. Oliver Tobin, 254–56. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197583425.003.0083.

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In March 2020, a 68-year-old man with a history of pulmonary thromboembolism sought care at the emergency department for fever, cough, headache, and confusion. Because of severe respiratory failure, orotracheal intubation was required, and the patient was admitted to the intensive care unit, where bilateral deep vein thrombosis and hematemesis occurred. After 2 weeks, owing to respiratory improvement, the patient was weaned from ventilator support and sedation. However, persistent fluctuations in confusion, anxiety, agitation, and cognitive-motor slowing were noted. One week later, he was referred to the infectious diseases unit, where altered mental status persisted in the absence of fever, seizures, or episodes of impaired consciousness. Chest radiography showed small, bilateral, ground-glass opacities. Brain magnetic resonance imaging showed bilateral involvement of mesial temporal lobes and hippocampus on fluid-attenuated inversion recovery sequences, in the absence of contrast enhancement or restricted diffusion. Nasopharyngeal samples were positive for SARS-CoV-2 on reverse transcriptase–polymerase chain reaction testing. Cerebrospinal fluid examination showed a slight increase in protein concentration, 1 white blood cell/µL, and no evidence of central nervous system infection. In particular, SARS-CoV-2 RNA was not detected. The patient was diagnosed with postinfectious inflammatory (limbic) encephalitis in the course of SARS-CoV-2 infection. The patient was treated with lopinavir/ritonavir and hydroxychloroquine. His recent thromboembolism prevented the administration of intravenous immunoglobulins, and high-dose corticosteroids were not administered because of the recent episode of hematemesis. Improvement in cognitive symptoms was noted 6 weeks after onset. At the time of this writing, May 2020, a few cases of encephalitis after COVID-19 had already been described. These have generally been characterized by fever, cognitive dysfunction, epileptic seizures, coma, and cerebrospinal fluid inflammatory findings. It appears that a common magnetic resonance imaging appearance in these patients is that of diffuse inflammatory encephalitis.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Prevention for people with disabilities and vulnerable groups." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0022.

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In this chapter we will look briefly at the prevention needs of people with disabilities and people who are vulnerable and require special care dental services for reasons that may be social. Within this group there will be a spectrum of people with needs and dependencies. Not everyone described as belonging to a vulnerable group in this chapter would identify themselves as disabled; nevertheless, what they have in common are a range of factors that put their oral health at risk, make accessing dental care complicated, or make the provision of dental care complicated. These factors may include a ‘physical, sensory, intellectual, mental, medical, emotional or social impairment or disability, or more often a combination of these factors’ (GDC 2012). People with disabilities have fewer teeth, more untreated disease, and more periodontal disease when compared to the general population in the UK (Department of Health 2007). Good oral health can contribute to better communication, nutrition, self-esteem, and reduction in pain and discomfort, while poor oral health can lead to pain, discomfort, communication difficulties, nutritional problems, and social exclusion (Department of Health 2007). As discussed in previous chapters, the important risk factors for oral diseases include: high-sugar diets, poor oral hygiene, smoking, and alcohol misuse. They are also shared risk factors for chronic non-communicable diseases such as respiratory diseases, cardiovascular diseases, diabetes, and cancers. The basic principles and approaches for the prevention of oral diseases in disabled people and vulnerable groups are similar to those described in previous chapters; however, there is a need to recognize that the context, the circumstances, the settings, and the opportunities for prevention will be slightly different, depending on the groups. For example, some disabled people (e.g. people with learning disabilities) may be reliant on others, such as family, carers, health care workers, to support basic self-care and to access health services. Other vulnerable groups such as homeless people live independent lives but lack access to basic facilities such as drinking water, and a place to store toothbrushes and toothpaste.
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Conference papers on the topic "Massachusetts. Department of Mental Diseases"

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Indriani, Indriani, Ade Rachma Safira, and Ummy Aisyiyah N. "Physical Activity Pattern among Students of Health Sciences in Yogyakarta." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.10.

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Background: Insufficient physical activity (PA) causes health problems globally. The information related to lack of physical activity among university students in Yogyakarta is still limited. Thus, it is important to monitor the pattern of physical activity as a part of health promotion efforts. This study aimed to provide information physical activity pattern among health science students in Yogyakarta. Subjects and Method: A cross-sectional study was carried out at Faculty of Health Science, X University, Yogyakarta. A total of 112 students was enrolled in this study. The variables in this study were student’s characteristic, sedentary behavior, and physical activity. The data was taken by using the Global Physical Activity Questionnaire (GPAQ) form, categorized as low activity (<600 METs), medium activity (600-3000 METs,) and high activity (>3000 METs). The data were analayzed descriptively. Results: Total of 61 students (54.4%) had low PA activity. Male were more active than female (Mean= 186.56; SD= 220.57) with METs and duration per minute per week were low (Mean= 49.51; SD= 298.90). There was a positive relationship between age, gender, and sedentary behavior, and they were statisticatlly significant. Conclusion: There is a positive relationship between age, gender, and sedentary behavior. In order to increase interest, institutions need to carry out socialization and increase the implementation of active campus programs that can be regulated in rules / regulations to be more active. In this way, a supportive environment for the control of non-communicable diseases and mental health is achieved. Keywords: physical activity, sedentary, health sciences students, health promotion Correspondence: Indriani. Department of Physiotherapy, Faculty of Health Science, Universitas Aisyiyah Yogyakarta, Indonesia. Email: indriani@unisayogya.ac.idmobile: +6282137645299. DOI: https://doi.org/10.26911/the7thicph.02.10
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