Objectives
To describe the comorbidities, presentations, and outcomes of adults with incident psychosis and a history of COVID-19.
Methods
We completed a descriptive systematic review of case reports according to PRISMA guidelines, including cases of adult patients with incident psychosis and antecedent or concurrent COVID-19. We extracted patient demographics, comorbidities, clinical course, and outcomes, and assessed cases for quality using a standardized tool.
Results
Of 2396 articles, we included 40 reports from 17 countries, comprising 48 patients. The mean age of patients was 43.9 years and 29 (60%) were males. A total of 7 (15%) had a documented psychiatric history, 6 (13%) had a substance use history and 11 (23%) had a comorbid medical condition. Delusions were the most common (44 [92%]) psychiatric sign and psychosis lasted between 2 and 90 days. A total of 33 (69%) patients required hospitalization to a medical service and 16 (33%) required inpatient psychiatric admission. The majority (26 [54%]) of cases did not assess for delirium and 15 (31%) cases were judged to be of high risk of bias.
Conclusions
Despite the growing awareness of COVID-19's association with incident psychosis at a population level, cases of COVID-19-associated psychosis often lacked clinically relevant details and delirium was frequently not excluded.
PROSPERO registration number:
CRD42021256746.
The repeal of mandatory retirement laws will result in new pressures on organizations to motivate and satisfy those managers who have reached their ceiling in the organization. This study compares the satisfaction and motivation (in terms of performance-reward instrumentalities) of a group of plateaued and non-plateaued managers. This was done both with and without controlling for the managers age. Age, rather than plateauing, seemed to be implicated in any observed differences. We found that older managers reported lower satisfaction with future organizational rewards and see stronger instrumentalities for mentoring type activities then d o their younger colleagues.
Purpose-Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care transitions by blending complementary skills of disciplines to increase care's holistic nature. Yet, only multidisciplinary efforts are frequently used in practice and often lack synergy and collaboration. The purpose of this paper is to present a case of a partnership model using nursing, gerontology and public health integration to support rural-residing elders as a part of building an Adult-Gerontology Acute Care Nurse Practitioner program. Design/methodology/approach-This paper uses the Centre for Ageing Research and Development in Ireland/O'Sullivan framework to examine the creation of an interdisciplinary team. Two examples of interdisciplinary work are discussed. They are the creation of an interdisciplinary public health course and its team-based on-campus live simulations with a panel and site visit. Findings-With team-building successes and challenges, outcomes show the need for knowledge exchange among practitioners to enhance population-centered and person-centered care to improve health care services to older persons in rural areas. Practical implications-There is a need to educate providers about the importance of developing interdisciplinary partnerships. Educational programming illustrates ways to move team building through the interdisciplinary continuum. Dependent upon the needs of the community, other similarly integrated partnership models can be developed. Originality/value-Transitions of care work for older people tends to be multi-or cross-disciplinary. A model for interdisciplinary training of gerontological practitioners in rural and frontier settings broadens the scope of care and improves the health of the rural older persons served.
This qualitative study was an examination of organized sport experiences of girls eight to thirteen years of age. The purpose was to determine, through the perceptions of the girls in this study, the factors which led to more satisfying sport experiences. In-depth interviews were conducted to probe for information concerning the girls’ current and past experiences with sport participation. The interviews addressed issues related to the girls’ initial involvement, such as who or what influenced them to participate in sports. In addition, questions were asked which addressed issues related to the influences which positively and negatively affected the nature and quality of the girls’ sport experiences. By presenting the direct quotes of the girls, the reader is allowed a first-hand examination of the components girls described as positively and negatively influential in their organized sport experiences.
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