While electroconvulsive therapy (ECT) is an effective therapeutic modality for the treatment of mental illness, negative attitudes and stigma exist about ECT in the general community and even within health services. Investigating interventions that improve the attitudes of health professionals towards ECT is beneficial as this reduces stigma and increases the acceptability of ECT for consumers. The primary aim of this study was to evaluate the change in attitude of nursing graduates and medical students towards ECT by watching an educational video. The secondary aim was to compare health professional attitudes to those of the general community. An educational video was co-designed with consumers and members of the mental health Lived Experience (Peer) Workforce Team about ECT outlining the procedure, side effects, treatment considerations and lived experiences. Nursing graduates and medical students completed the ECT Attitude Questionnaire (EAQ) prior to and after watching the video. Descriptive statistics, paired samples t-tests and one sample t-tests were completed. One hundred and twenty-four participants completed pre-and post-questionnaires. Attitudes towards ECT significantly improved after watching the video. Positive responses towards ECT increased from 67.09% to 75.72%. Participants in this study reported higher positive attitudes towards ECT than members of the general public before and after watching the intervention. Results indicated that the video educational intervention was effective in improving attitudes towards ECT for nursing graduates and medical students. While the video is promising as an educational tool, further research is required to explore the use of the video in reducing stigma for consumers and carers. K E Y W O R D S attitudes, ECT, education, stigma, videoNote: Positive response percentage is calculated by dividing the mean with the maximum score for the component or the total score (Alexander et al., 2020). Total EAQ maximum score = 44; Component-1 maximum score = 36; Component-2 maximum score = 8. EAQ = ECT Attitudes Questionnaire.
The postnatal period is high-risk time for the first onset and recurrence of maternal mental health disorders. Untreated maternal mental illness can have significant adverse impacts on a woman, her baby, and the wider family unit. For women with mental illnesses that cannot be managed in the community, psychiatric inpatient mother-baby units are the gold standard treatment whereby mothers are co-admitted with their infant for specialist perinatal and infant mental health assessment and treatment. The study explores the model of care and examines the philosophies of care that are used within a psychiatric mother-baby unit. Purposive sampling was used to conduct semi-structured focus group and individual interviews with multidisciplinary staff members at a single mother-baby unit. Themes derived from these interviews were coded into two primary themes and a range of sub-themes. The first primary theme focused on the Model of Care consisting of the following sub-themes: mental health care, physical health care, babies’ care, building mother-baby relationship, fostering relationships with supports, and facilitating community support. The second primary theme centered around the Philosophy of Care comprising of: person-centered care, trauma-informed care, compassion-centered care, recovery-oriented care, attachment-informed care, non-judgmental care, strengths-based care and interdisciplinary care. The model can be used to provide consistency across mother-baby units and to support core capabilities of staff in providing an optimal level of care.
Over a past few years, a very limited number of studies researched whether the chikungunya virus affects the oral cavity in addition to pronounced symptoms in extremities but on literature review different studies were found to have different conclusions. Thus an Observational Study was conducted evaluating the impact of Chikungunya Virus Infection on Oral Cavity and Temporomandibular Joint. This was a cross sectional study having a self-designed questionnaire, descriptive and associative tests were run for Data analysis using SPSS. Out of 527 tested, 204 patients were found seropositive and 135 were selected for data analysis on their consent (N 135). Pain and burning sensation of mouth (71.1%), discomfort in mouth opening (65.9%), Bleeding gums (53.3%), and taste aversion (50.3%) were the most common complaints followed by Inability to chew food (48.1%), Discomfort in swallowing (35.5%), Halitosis (34.8%) and tenderness over TMJ (30.4%). The study significantly recorded pain, discomfort and bleeding gums intraorally. Pain, tenderness and decreased efficiency of temporomandibular joint were also noted. Contribution/Originality: This study contributes in the existing literature of Chikungunya virus infection. Interval estimation statistical method is used. It is one of very few studies which have investigated impact of Chikungunya Virus Infection on Oral Cavity and Temporomandibular Joint and concluded it to be quite painful and uncomfortable to bear causing burning gums, limiting speech, decreased chewing ability, altering taste perception, TM-joint and muscles tenderness and difficulty in food swallowing. regions, but it has the potential to affect more than 1 billion people [3]. Since 2005, major breakouts of chikungunya virus have occurred in India, Indonesia, Maldives, Myanmar and Thailand have reported over 1.9
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