Aims. To study the factors associated with the DSH in the elderly group of 60 years and above and to recommend changes to be implemented in order to improve the management in this specific group. Materials and Methods. Five-year retrospective study was undertaken from July 2005 to July 2010 in the Plastic Surgery Department of the Royal Preston Hospital, NHS Trust. A Performa was designed to collect data about the inpatient admission and included certain areas of key information. The case notes for all patients were extensively analysed in order to gather adequate information for the devised Performa. Results. DSH is getting more common in the elderly group, and males are more affected than females. 60% of the patients had a previous history of DSH. A large number (80%) of patients had a previous history of mental illness. 60% of those DSH patients were living with family. Almost all patients (90%) were reviewed by the Psychiatry Liaison Team. The timing of patients being assessed was highly variable. Conclusions. Marriage is not a protective factor in the prevention of the DSH in the elderly group. A mental health team referral in the early phases of the management would be of huge benefit and a likely step to prevent possible future admissions. The Department would benefit from the creation of a protocol for the management of these patients. There should be a joint effort of the professionals in the management of DSH in the elderly, and GPs play a very important role in the prevention of DSH in the later life.
This study examined the amount of time used by disabled students to take special administrations of the SAT offered by the College Board's ATP Services for Handicapped Students. It also investigated the relationship between length of time taken and scores achieved.
Timing data on groups of students were examined, both by disability and by the version of the test taken (braille, cassette, large type or regular type). Results showed that disabled students who were tested over the four years from 1979 to 1983 took considerably more time to complete the SAT than non‐disabled students. Hearing impaired students taking a regular version of the test took the smallest amount of time, averaging 3.7 hours, while visually impaired students taking a cassette version averaged 5.4 hours and those taking a braille version averaged 6.0 hours. Physically disabled and learning disabled students averaged between 4.3 and 4.7 hours.
Time spent on each section of the SAT (two verbal sections, two math sections and the Test of Standard Written English) was also investigated, although those numbers did not differ substantially from total timing data.
The relationship between SAT test scores and the amount of time spent on the verbal and math section of the test was investigated as well. Results showed that physically disabled and visually impaired students who spent more time on the verbal sections of the SAT achieved lower verbal scores than those who spent less time, while the opposite was true for the verbal scores of hearing‐impaired and learning‐disabled students. However, for the math sections of the SAT, students in all disabled groups who spent more time tended to achieve higher math scores.
The symptoms-response ratio provides a good balance of a simple and inexpensive measure while yielding a fair estimate of unmet needs for primary care. This analysis created a pediatric measure targeted to the needs of young children and adolescent females.
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