OBJECTIVES To examine abstinence outcomes among tobacco users with and without a reported mental health condition (MHC) who enrolled in state tobacco quitline programs. METHODS Data were analyzed from a 7-month follow-up survey (response rate: 41% [3,132/7,459]) of three state-funded telephone quitline programs in the United States that assessed seven self-reported MHCs at quitline registrati...

BACKGROUND Mental health condition (MHC) comorbidity is associated with lower intensity care in multiple clinical scenarios. However, little is known about the effect of MHC upon clinicians' decisions about intensifying antiglycemic medications in diabetic patients with poor glycemic control. We examined whether delay in intensification of antiglycemic medications in response to an elevated Hem...

AIMS To assess the effectiveness of an intensive smoking cessation intervention based on the transtheoretical model of change (TTM) in diabetic smokers attending primary care. METHODS A cluster randomized controlled clinical trial was designed in which the unit of randomization (intervention vs. usual care) was the primary care team. An intensive, individualized intervention using motivationa...

tial multicentre ones not funded by industry, which together have been cited over 800 times in the literature already, that have confirmed that there are indeed no special advantages of atypical antipsychotics in the treatment of schizophrenia and, compared with conventional anti-psychotic drugs, they are not costeffective. I deliberately put the word ‘‘confirmed’’ in italics because the wordin...

BACKGROUND Distant healing, a form of spiritual healing, is widely used for many conditions but little is known about its effectiveness. METHODS In order to evaluate distant healing in patients with a stable chronic condition, we randomised 409 patients with chronic fatigue syndrome (CFS) from 14 private practices for environmental medicine in Germany and Austria in a two by two factorial des...

This article investigated criminal recidivism 1 year postexit from a mental health court (MHC), which has, unlike prior MHCs studied, relatively short periods of court supervision. It benefits from a federal pretrial services agency that screens all arrestees for mental illness and dedicates a specialized supervision unit (SSU) to provide supervision and services while on pretrial release to al...

OBJECTIVE This study compared three instruments that are used to measure empowerment of people with psychotic disorders. The study evaluated internal consistency, discriminant and convergent validity, sensitivity to symptom levels, and clinical usefulness. METHODS Fifty patients in the Netherlands were administered the Empowerment Scale (ES), the Personal Empowerment Scale (PES), and the Ment...

BACKGROUND Chronic shunt-dependent hydrocephalus is a complication of aneurysmal subarachnoid hemorrhage (aSAH). Its incidence and risk factors have been described while the hydrocephalus onset in terms of days after treatment (microsurgical or endovascular) has not been yet analyzed. MATERIALS AND METHODS 45 patients, treated for aSAH in 4 Italian Neurosurgical Departments, were retrospectiv...

conclusions it was noted that a relatively high prevalence of growth failure was observed in the study sample. for minimizing the impact of significant risk factors on growth failure, the early detection of growth failure and its risk indicators is of great importance. in addition, when the focus of the analysis is on the different nested sources of variability and the data has a hierarchical s...

BACKGROUND The relationship between students and instructors is of crucial importance for the development of a positive learning climate. Learning climate is a multifaceted concept, and its measurement is a complicated process. The aim of this cross-sectional study was to determine medical students' perceptions about the clinical learning climate and to investigate differences in their percepti...