Summary
We aimed to determine the level of psychological distress in community‐treated patients with epilepsy and to determine if this distress is associated with increased health service use. The Australian National prescription database was used to recruit patients with epilepsy onto the Tasmanian Epilepsy Register (TER). Psychological distress was measured using the K10 in the TER patients and compared to the Tasmanian population using the National Health Survey 2004–5. Of the 1,180 on the TER, 43 withdrew, 36 died, and 262 were excluded. Of 839 patients, 652 completed the K10 (78%). High–very high levels of psychological distress were observed in patients with epilepsy compared with the general population [odds ratio (OR) 2.14, 95% confidence interval (CI) 1.79–2.56]. Patients with high–very high psychological distress had increased attendance at general practitioners (p < 0.001), specialists (p = 0.02), and emergency departments (p = 0.004). Psychological distress is increased in community‐treated patients with epilepsy compared to the general population, and is associated with increased health service use.
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The enormous number of images of works of art available on the Internet promises great potential for research in art history and related image-using disciplines. Yet without adequate indexing, this resource is very difficult to explore. It is certainly necessary to identify each image with the basic unique information relating to it, but more is needed. Since it is largely the concepts related to works of art that interest art historians, it is these concepts that need to be reflected in indexing terminology. As these concepts have changed over time, a sizeable verbal infrastructure is needed to support the indexing of large image databases to achieve maximum use by art historians.
The enormous number of images of works of art available on the Internet promises great potential for research in art history and related image-using disciplines. Yet without adequate indexing, this resource is very difficult to explore. It is certainly necessary to identify each image with the basic unique information relating to it, but more is needed. Since it is largely the concepts related to works of art that interest art historians, it is these concepts that need to be reflected in indexing terminology. As these concepts have changed over time, a sizeable verbal infrastructure is needed to support the indexing of large image databases to achieve maximum use by art historians.
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