RESUMO
The purpose of this study was to identify whether a past history of childhood sexual abuse is a risk factor for repeated Deliberate Self-Harm (DSH). The study was a 6-month prospective study of 178 patients responsible for 190 consecutive cases of DSH seen during a 3-month censoring period. Patients were identified by review of the in-patient and accident and emergency (A&E) records of all cases of DSH at the A&E department of a major teaching hospital. Patients with a history of childhood sexual abuse showed a marked clustering of four major risk factors for repeat DSH (unemployment, past deliberate self-poisoning, self-injury and psychiatric illness) and were significantly more likely to repeat DSH within the 6-month follow-up period.
Assuntos
Abuso Sexual na Infância/complicações , Comportamento Autodestrutivo/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Abuso Sexual na Infância/epidemiologia , Serviço Hospitalar de Emergência , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Recidiva , Fatores de Risco , Comportamento Autodestrutivo/epidemiologia , Reino Unido/epidemiologiaRESUMO
The recent changes in NHS management structure have allowed us for the first time, to estimate the cost of treatment of an illness. We wanted to determine the treatment cost of a case of deliberate self-harm (DSH) to a large University Teaching Hospital and to this aim, we reviewed the case notes of 190 consecutive cases of deliberate self-harm presenting to A&E. On average, each attendance costs 425.24 pounds, from attendance to A&E to hospital discharge.
Assuntos
Serviço Hospitalar de Emergência/economia , Custos de Cuidados de Saúde/estatística & dados numéricos , Comportamento Autodestrutivo/economia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Overdose de Drogas/economia , Overdose de Drogas/epidemiologia , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Autodestrutivo/epidemiologia , Tentativa de Suicídio/economia , Tentativa de Suicídio/estatística & dados numéricos , Resultado do TratamentoRESUMO
1. This condition is a congenital condition occurring in 1:3,500 births. 2. The condition can be diagnosed in utero, then delivery can be arranged at a hospital with a neonatal unit. 3. Most cases can be easily treated with surgical intervention. 4. Most TOF babies thrive after surgery, and good nursing care increases their chances of healthy development.
Assuntos
Atresia Esofágica/cirurgia , Enfermagem Neonatal/métodos , Fístula Traqueoesofágica/cirurgia , Atresia Esofágica/complicações , Atresia Esofágica/enfermagem , Humanos , Recém-Nascido , Fístula Traqueoesofágica/complicações , Fístula Traqueoesofágica/enfermagemRESUMO
Diaphragmatic hernia is a congenital lung defect which has high mortality rates. It can be corrected by surgery if the lungs are not too severely affected, and requires excellent postoperative nursing care.
