we typically think of acutely and chronically mentally ill patients as those who belong in psychiatric hospitals and the latter category of patients belonging in “regular” hospitals, but the intersection of physical and mental illness draws attention to important challenges for policy-makers and organizational leaders. this article illuminates some broad trends in the health status of people wi...

Workers Memorial Day, observed annually on April 28,* recognizes workers who suffered or died because of exposures to hazards at work. In 2015, work-related injuries claimed the lives of 4,836 U.S. workers.† Although deaths resulting from work-related injuries are captured by surveillance systems, most deaths resulting from work-related illness are not. In 2007, an estimated 53,445 persons died...

OBJECTIVE To estimate the direct and indirect cost of care incurred by patients with schizophrenia attending a tertiary care psychiatry unit in Colombo. METHODS Study was carried out at the National Hospital of Sri Lanka. Systematic sampling selected every second patient with an ICD-10 clinical diagnosis of schizophrenia presenting to the clinic during a two month period. Investigator adminis...

Objective: The present study examined the role of social support in protecting against disability among older people residing in Poldasht, West Azerbaijan Province, Iran in 2018. Methods: This cross-sectional study was undertaken on 305 older adults who were selected by random sampling method. The World Health Organization Standardized Disability Scale (WHODASS2) and Multidimensional Scale of ...

This study estimated the recurrent cost implications of adopting Integrated Management of Childhood Illness (IMCI) at the first-level healthcare facilities in Bangladesh. Data on illnesses of children who sought care either from community health workers (CHWs) or from paramedics over a four-month period were collected in a rural community. A total of 5,505 children sought care. About 75% of sym...

A model predicting the nutritional cost of measles has been based on data from a study of energy balance in Kenyan children during and after measles. The energy shortfall, consequent upon a reduction in energy intake and a sustained level of energy expenditure, is met by tissue catabolism. The magnitude of resulting weight loss will be greater in lean than in plump children. During recovery, th...

West Nile virus (WNV) was first detected in the Western Hemisphere in 1999 in New York City. From 1999 through 2004, >16,600 cases of WNV-related illnesses were reported in the United States, of which >7,000 were neuroinvasive disease and >600 were fatal. Several approaches are under way to develop a human vaccine. Through simulations and sensitivity analysis that incorporated uncertainties reg...

Severe mental illnesses cause their sufferers dismal functional impairment. The Global Burden of Disease lists schizophrenia among the top 10 contributors to health burden and disability around the world. In the Institute of Mental Health (IMH) of Singapore, 9 out of 10 Class-C beds are occupied by patients whose hospitalisation periods last 300 days on average. Whilst de-institutionalisation h...