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Biomedical subjects

M Hugo

Publications and source records attributed to M Hugo.

12 recordsLinked to original sources
PubMed2005

Mental health nurses' and psychiatrists' views on the prognosis of schizophrenia and depression: an exploratory, qualitative investigation.

This study uses a qualitative methodology to explore mental health literacy, specifically perceptions of prognosis, which is typically investigated with a quantitative, questionnaire-based approach. Two vignettes--one of a person with schizophrenia and one with depression--were shown to three mental health nurses and three psychiatrists. During semi-structured, open-ended interviews, they were asked to discuss their thoughts about the prognosis for the patient presented in each vignette. Participants tended to use the terms 'prognosis' and 'outcome' interchangeably. Psychiatrists tended to be more guarded in determining a prognosis than nurses. Both groups emphasized the importance of clinical experience in formulating views. However, nurses also discussed the role of the multidisciplinary team, whilst psychiatrists emphasized their reliance upon the scientific literature in shaping opinions. Participants identified information relevant for incorporating into future vignettes, to allow more informed research into literacy. The results of quantitative mental health literacy research should be interpreted with caution. Simplifying responses to allow comparative analysis is necessary, but masks more complex and important interpretations. Further qualitative research is recommended, the results of which can inform more comprehensive quantitative studies in the area.

Adult↗
PubMed2001

Mental health professionals' attitudes towards people who have experienced a mental health disorder.

The aim of this study was to gain information about the attitudes of mental health professionals towards people who have experienced a mental illness. The study involved a survey of 266 mental health professionals employed in a range of mental health treatment settings. Respondents were administered a questionnaire based on one of two vignettes describing a person with schizophrenia or depression. Attitudes were represented as beliefs about prognosis and long-term outcomes in relation to the two vignettes. Professional groups were found to be less optimistic about prognosis, and less positive about likely long-term outcomes, when compared with the general public. Medical staff were less optimistic about outcomes than other professional groups, with mental health nurses generally most optimistic. Most professionals based their attitudes on their experiences of working with people with mental health problems.

Attitude of Health Personnel↗
PubMed2000

Comparative efficiency ratings between public and private acute inpatient facilities.

OBJECTIVES: The aims of this study are to compare clinical outcomes and efficiency ratings in an acute psychiatric inpatient facility with findings from other studies, and to examine relationships between symptom severity, admission medico-legal status and length of stay. METHOD: The Health of the Nation Outcome Scales was administered at admission and discharge and analysed against admission medico-legal status and length of stay. Efficiency ratings were calculated and compared with those from other acute psychiatric inpatient settings. RESULTS: Clinical outcomes and efficiency ratings were similar to those from other public acute inpatient facilities, with greater admission severities and higher efficiency ratings than those found in private facilities. Involuntary hospitalisation was found to be associated with higher admission severities and longer lengths of stay. CONCLUSIONS: Outcome or effect size is enhanced by higher admission severities, however, mean outcome per 10 days of stay is decreased by involuntary admission legal status. Factors unrelated to admission legal status effect differences in efficiency ratings found between public and private acute psychiatric inpatient facilities.

Acute Disease↗
PubMed1992

Left or right, up or down: a case for positioning of unconscious head-injured patients.

Nursing care activities have been proved to cause increases in intracranial pressure (ICP) which could be detrimental to the patient's health. Because positioning is one of the activities that causes the greatest pressure changes it was evaluated in this study. Cumulative increases also occur when nursing care activities are carried out in quick succession. The analysis of the data and literature suggest that the backrest position with the head of the bed elevated 30 to 45 degrees is the best position for a patient with increased ICP. If further research should prove that this position has a negative influence on the cerebral perfusion pressure, these recommendations will have to be revised.

Clinical Nursing Research↗
PubMed1986

[Neurotrauma].

Explore the source record for details and available documents.

Brain Concussion↗
PubMed1984

Factors associated with 'masked' psychological illness in the elderly.

In order to elucidate the 'masked' nature of psychiatric illness in the elderly, subjects attending a suburban community day centre were screened for organic and functional psychological illness and also administered an illness behaviour questionnaire. For those subjects, non-organically impaired, the probable functional psychiatric cases were compared with the other attenders. There were no differences between the groups on the scales indicating denial and psychological mindedness, but the probable cases scored significantly higher on affective inhibition, indicating a conscious suppression of feelings. These findings not only provide objective data which support the previous clinically observed 'masked' nature of psychological illness in the elderly, but also give the clinician guidance in elucidating such 'masked' illness.

Affect↗
PubMed1977

Central papillary atrophy of the tongue.

Twenty-eight cases of central papillary atrophy of the tongue (CPA) are presented. Vegetative Candida species were commonly but not invariably seen on cytologic and histologic examination. Follow-up of fifteen cases showed spontaneous resolution of three. It is suggested that CPA of the tongue represents a clinical rather than a pathologic entity, and that the underlying disease process may not be identical in all cases.

Adolescent↗