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PubMed1975

Inpatient hospital dentistry.

Inpatient hospital dentistry has been reviewed. The expanding role of the hospital as a focal point for dental treatment of the healthy as well as medically compromised patient has been emphasized. A portion of this article has been devoted to admission and discharge procedures for the dental inpatient. The hospital chart is seen as the only instrument and record of the patient management and thus the various parts of the chart have been outlined. A review of the common laboratory tests useful to dentist and physician alike is included in this section. It is hoped that the material contained herein will serve as a guide to the general dentist or specialist who may utilize the hospital to admit patients.

Blood Cell Count↗
PubMed1976

Drug-associated deaths of medical inpatients.

Of 7,423 medical inpatients, 16 (0.22%) died of drug-associated causes. The overall mortality for all medical inpatients was 6.5%. Eleven of the 16 patients who died of drug-associated causes had been terminally ill; the rest had been seriously ill before the fatal drug reaction occurred. Half of the patients had had either hematologic malignant changes or lupus nephritis. Antineoplastic drugs, azathioprine, prednisone, and heparin sodium were the most frequently implicated drugs. In other studies, we have found widely differing incidences of fatal drug reactions, due to a number of different drugs; these disparities are probably related to variations in the types of illnesses amoung different hospital populations and to varying interpretations of the term "drug-associated death." Extrapolation from the available data to a national incidence of drug-associated deaths is not possible. Drug-associated deaths are relatively uncommon and usually occur in the cases of severely or terminally ill patients treated with potentially highly toxic drugs.

Adolescent↗
PubMed1978

Does adipose tissue cellularity or the age of onset of obesity influence the response to short-term inpatient treatment of obese women?

Thirty-three obese women were admitted as inpatients to a metabolic ward and had an average intake of 3.35 MJ (800 kcal) daily for three weeks. Fat biopsies were taken at three subcutaneous sites and average fat cell mass (CM) and apparent fat cell number (FCN) were calculated. There was no significant correlation between adipose tissue cellularity (CM or FCN) and total weight loss or resting metabolic rate, provided due allowances were made for the severity of obesity in each case. Neither was there any significant correlation between short-term weight loss and the age of onset of obesity. Resting metabolic rate, and not adipose tissue cellularity or age of onset of obesity, is a better indicator of short-term weight loss under controlled inpatient conditions.

Abdominal Muscles↗
PubMed1979

The development of an acute short-term inpatient child psychiatric setting: a pediatric-psychiatric model.

The authors describe the establishment of a unit for children that emphasizes the integration of the pediatric model of acute, short-term inpatient care with the psychological and developmental perspective of the psychiatric model. Of the 145 children admitted during the first year, more than 33% manifested aggressive or hyperactive behavior and 25%, depression or suicidal behavior. Eighty-five percent were discharged to their homes or previous residences after an average length of stay of 24 days. The authors suggest that similar units established in children's hospitals or general hospitals could help meet the urgent need for acute inpatient psychiatric care of children in this country.

Adolescent↗
PubMed1979

Inpatient performance of primary care residents: impact of reduction in time on the ward.

The inpatient (ward/intensive-care-unit) performance of primary care medical residents was compared with that of their peers in the standard internal medicine residency program. The primary care residents spent half as much time on inpatient rotations as did their peers in the first two years of training. History-taking, physical examination, case presentation, record-keeping, patient management, and overall performance were assessed and scored by the attending physicians using the American Board of Internal Medicine's Clinical Performance Evaluation Form. The performances of the two groups were nearly identical, suggesting that substantial time in the first two years of residency can be devoted to ambulatory training without markedly compromising development of acute care skills.

Clinical Competence↗
PubMed1979

Hypercalcaemia in adult hospital population: comparison of inpatients of 1966 with those of 1976.

During 1976, inpatients with hypercalcaemia at The Royal Melbourne Hospital were identified from the worksheets of the Department of Biochemistry and compared with those discovered in a similar study in 1966. In 1966, the estimation of plasma calcium level had to be ordered specifically, whereas in 1976, for technical reasons, the measurement of plasma calcium level was frequently performed when not requested. Despite a six-fold increase in plasma calcium in the rate of detection of hypercalcaemia. In both studies, malignant disease was the most common casue of hypercalcaemia, but primary common cause of hypercalcaemia, but primary hyperparathyroidism was found slightly more frequently in 1976. This study suggests that screening inpatients for hypercalcaemia is of little value.

Clinical Laboratory Techniques↗
PubMed1977

[Ideas on the part of patients and doctors regarding the adequacy of psychiatric inpatient and outpatient treatment (author's transl)].

One fixed day the doctors of a Psychiatric University Clinic were asked what form of therapy would be best for each of their inpatients (n = 164), and whether these patients could leave the inpatient treatment in case the desired ambulant therapy institutions existed. Half a year after this inquiry questionnaires were sent to the patients, and 104 replies were received. The opinions of the patients which treatment would have bee best for them were compared the doctors' judgements. Both, doctors and patients wanted more ambulant therapy opportunities than existed. There was little unity between doctors and patients about the question with patient would profit from what sort of therapy. We assume that a deciding factor in this disagreement between doctors and patients is the doctor-patient-relationship.

Adult↗
PubMed2026

Impact of Physical Environment of Pediatric Inpatient Wards on Children: A Systematic Literature Review.

ObjectiveThe study aimed to examine empirical studies published between 2003 and 2025 to identify elements of physical environments influencing health outcomes and experiences of children and families.BackgroundIn the past 40 years, research has shown that the physical environment influences the health and well-being of patients in the healthcare environment. However, similar research in the context of "pediatric inpatient wards" remains underexplored.MethodsPubMed, Embase, Scopus, and Web of Science were used to identify relevant articles. All extracted articles underwent a three-step screening process using PRISMA. A total of 30 eligible articles were used for the analysis. The protocol is registered at PROSPERO (CRD42023408997).ResultsKey findings reveal positive and negative impacts of identified elements. Positive-effect elements include play spaces, space for parents, natural light, connections with nature, and so on, which promote comfort, healing, and emotional resilience. Conversely, negative-effect elements, such as noise, artificial lighting, uncomfortable temperature, and so on, contribute to stress and disrupted sleep. Mixed effects were observed for elements like art and television, which underscore the complexity of designing environments that address the diverse needs of different age groups and genders.ConclusionsThe review findings highlight significant knowledge gaps. The study also tries to bridge existing gaps between research and practice by systematically identifying environmental elements, offering actionable insights to architects, designers, healthcare providers, and policymakers. Future research must adopt rigorous, culturally inclusive approaches to advance the field of pediatric healthcare design and ensure equitable care across diverse sociocultural contexts.

Humans↗
PubMed2024

The "genetic test request": A genomic stewardship intervention for inpatient exome and genome orders at a tertiary pediatric hospital.

PURPOSE: Exome sequencing (ES) and genome sequencing (GS) are useful tests to diagnose rare diseases in pediatric patients in critical care settings. Genomic test stewardship can increase the appropriate use of these tests leading to improved diagnostics and cost savings. METHODS: A mandatory review of ES and GS orders for admitted patients was implemented in March 2023. Outcomes of the reviews, cost analysis, and subsequent test results through February 2024 were analyzed with descriptive statistics. RESULTS: There were 444 genetic test request orders placed for 412 unique patients. Of these, 81 (18.2%) were redirected and 57 (12.8%) required modification after approval, leading to an overall cost savings of $345,821.00 or $778.88 per order. The combined diagnostic rate was 28.2% in this patient population. CONCLUSION: Stewardship of ES/GS orders for pediatric inpatients is an effective tool to improve the appropriate usage of these genomic tests. Additional collaboration with stakeholders and expansion of genomic stewardship initiatives may shorten the diagnostic odyssey for critically ill pediatric patients and result in cost savings.

Humans↗
PubMed1976

Short vs long hospitalization. A controlled study: III. Inpatient results for nonschizophrenics.

A controlled, prospective, two-year follow-up study examined the relative effectiveness of short-term vs long-term psychiatric hospitalization. Results of the inpatient phase for a sample of 74 nonschizophrenic patients are reported here. About four weeks after admission the patients hospitalized for a short stay were discharged, and at that time were functioning better than the patients in the long-stay group. When the patients hospitalized for a long stay were discharged, three to fur months after admission, they were then functioning as well as, but not noticeably better than, the patients in the short-stay group had been at their earlier time of discharge. Patients with affective disorders were more impaired at admission and improved more than patients with other diagnoses, regardless of length of stay.

Adult↗
PubMed1977

Propoxyphene on demand. Analgesic-seeking behavior in psychiatric inpatients.

Although anxiety is known to enhance a patient's response to pain, the exact relationship is unclear. This problem is particularly acute among psychiatric patients where analgesics are frequently both used and abused. This study attempts to evaluate factors associated with analgesic use among these patients with the hypothesis that anxiety, other measures of psychopathology, and ward tension would be associated with frequent analgesic use. An unselected series of psychiatric admissions during a three month period were administered the State-Trait Anxiety Inventory, MMPI, and a questionnaire dealing with prior drug use. Propoxyphene napsylate (Darvon-N) was made freely available on request from nurses who recorded details of the interaction on a prepared card. The nursing staff also recorded unusual incidents on the unit and evaluated daily the level of ward tension. The results indicate that, when made freely available to psychiatric inpatients, propoxyphene was used very conservatively and for appropriate complaints. Factors associated with drug seeking behavior are discussed in relation to other research regarding the use and abuse of analgesics.

Adult↗
PubMed1979

Psychiatric adolescent inpatients: eight- to ten-year follow-up.

Seventy-seven adolescent psychiatric inpatients, whose index hospitalization was at a mean age of 16, were followed up for eight to ten years after discharge. The important findings at follow-up were as follows. Twelve patients had bipolar affective disorder and were severely disabled (of these, 11 had a long-term clinical course and three committed suicide). Sixteen patients had unipolar depression: five had one depressive episode and were well throughout the follow-up period, one patient had many episodes with complete remissions, and the remaining ten patients had only partial remissions and their impairment of functioning corresponded to the severity of their symptoms. One of the ten committed suicide. Eighteen (23%) patients were psychiatrically well and functioned adequately throughout the follow-up period. Five had primary depressions, five had undiagnosed psychiatric illness, and eight were diagnosed as not having a psychiatric disorder.

Adjustment Disorders↗
PubMed1976

Using the MMPI 168 with medical inpatients.

The potential utility of the MMPI 168 with two inpatient medical populations was explored in the present study. Correlations and clinically relevant comparisons suggested that the MMPI 168 predicted the standard MMPI with a high degree of accuracy.

Adult↗
PubMed1976

The effect of relocation on the satisfaction of psychiatric inpatients.

Fifty-one psychiatric inpatients were tested on a 36-item satisfaction scale before and after a reorganization at Harlem Valley Psychiatric Center. Patients were divided into three groups (Low, Medium, and High Stress) on the basis of whether they experienced no change as a result of the reorganization, environmental change only (different building), or environmental and social change (different building, different staff, different fellow patients). Patients in the three groups were matched on the basis of chronological age, length of hospitalization, and sex. Results indicated that there were no reliable differences among the satisfaction scores of the groups as a result of the relocation. This finding supports the hypothesis that the involuntary relocation of chronic psychiatric patients to another institutional treatment environment results in few demonstrable effects.

Adaptation, Psychological↗
PubMed1977

The interrater reliability of the Psychotic Inpatient Profile.

The interrater reliabilities of the 12 scales of the Psychotic Inpatient Profile (PIP) were assessed in three independent samples. These reliabilities were found to be consistently low for the three samples. Several possible sources of low reliability were investigated, and evidence to support the hypothesis that consistent rater biases might have contributed to this low reliability was found. The authors make several suggestions of ways to improve PIP's reliability.

Adjustment Disorders↗
PubMed1978

Reductions in experienced control and depression in psychiatric inpatients: a test of the learned helplessness model.

Used a measure of reduction in experienced control to investigate two aspects of the learned helplessness model of depression. Consistent with this model, psychiatric inpatients who reported reduced control over life events prior to hospitalization were significantly more depressed than individuals who reported no such reductions. Locus of control (IE) was not related to depression scores, and it was suggested, in light of previous research, that future research on the antecedents of depression employ more specific measures of control rather than measures of generalized expectancies. Additionally, depressive as a diagnostic group reported greated reduced control than chronic schizophrenics, paranoid schizophrenics, and patients with personality disorder diagnoses. These results were interpreted as supporting the specificity of learned helplessness to depression. It was suggested that research on learned helplessness and depression, which has relied on college student analogues, can be complemented profitably by studies of reduced experience control within clinical populations.

Adolescent↗
PubMed1978

Common factors in two methods for assessing psychiatric inpatients.

Repeated measures were collected on 99 patients by use of two assessment instruments, the Brief Psychiatric Rating Scale, based on an interview, and the Psychotic Inpatient Profile, based on observations of ward behavior. For each S, scores from the two instruments were matched for day of rating and intercorrelated. Factor analysis revealed two factors, each with substantial contributions from both rating instruments. The first factor, interpreted as measuring thought disorder, accounted for 19% of the total varlance. The second factor, termed mood disorder, accounted for 12% of the variance. A third factor accounted for an additional 9% of variance, but had high loadings only on scales of the BPRS.

Adolescent↗
PubMed1979

The A-B variable and preferred inpatient treatment environment.

Examined the possibility that college students' status on Whitehorn and Betz' (1954) A-B dimension would be related to their descriptions of the ideal psychiatric inpatient treatment setting. Sixty-one Ss completed the A-B scale, as well as Moos' (1974) Ward Atmosphere Scale-Ideal Form. Analysis demonstrated a statistically significant relationship between A-B status and 5 of the 10 WAS subscales. A and B Ss both differed significantly from a middle group of Ss, but did not differ from one another, in their ward ratings on these subscales. Factor analysis of the Ideal Form ratings replicated Alden's (1977) finding from analysis of Standard Form responses of a high degree of communality between 8 of the 10 WAS subscales.

Adult↗