ABSTRACT
The effectiveness of the Psychiatric Home Care program versus the traditional, hospital-centered program needs to be evaluated for proper reform of mental health policy concerning schizophrenia. The objective of the study was to compare the length of hospital stay and risk of hospital re-admission in home-based versus the hospital based services for schizophrenic patients at the Psychiatric Home Care [PHC] of the Psychiatric Hospital, Al Madinah Al Munawarah, Kingdom of Saudi Arabia. The study involved comparing 15 schizophrenic patients in a home-based care program for 1 year to the number and length of hospitalization they experienced in the year prior to being admitted to home based care. It also included a control group of 15 schizophrenic patients under hospital-based care. Both groups were followed up for 1 year. Results indicated that the number of hospital admissions significantly decreased in the case of patients receiving PHC. Psychiatric Home Care is superior to hospital based treatment in the management of schizophrenia
Subject(s)
Humans , Male , Female , Young Adult , Adult , Middle Aged , Home Nursing , Length of Stay , Patient Readmission , Case-Control StudiesABSTRACT
Shorter than average adults are suggested to be at a higher risk for obesity, stunted growth is short stature due to chronic malnutrition and if identified, leads to obesity. Current study tests the hypothesis that stunted children, grown up as short adults have increased risk of obesity. Data from adult participants in a 2002 national survey for assessment of obesity among the Egyptian population and the national survey for assessment of Bone Mineral Density [BMD] among Egyptian adolescents [2003] were computed by gender specific height categories separately for men and women and Body Mass Index [BMI]. In the first study, the overall prevalence of obesity was [22.8%] among stunted males, [17.6%] among none stunted males, [53.2%] among stunted females and [46.9%] among normal height females. In the second study, the overall prevalence of obesity was [31.7%] among stunted males, [27.9%] among none stunted males, [68.6%] among stunted females and [62.7%] among normal height females. The prevalence of class II and class III obesity was higher among the short stature males and females. Both short males and females had a significantly higher mean of BMI. Waist circumference was significantly greater in normal stature males. There was an inverse correlation between stature and BMT. Data supports the hypothesis that stature is inversely related to the risk of obesity
ABSTRACT
In this study, bone mineral density, dietary and nutritional status were assessed among 159 stunted adolescents and the results were compared with 159 age, sex and socioeconomic matching controls. The results showed that the mean level of bone mass density [BMD] was significantly lower among the stunted compared with the control group; both groups had values much below the reported figures among adolescents of different countries. Dietary intake analysis showed that the mean intake of calcium and copper was not different among stunted and control groups; while the intake of animal fat, zinc and vitamin A was significantly lower among the stunted cases compared with the control group