\n\nDesign: Descriptive design to evaluate the feasibility of a clinical innovation.\n\nSetting: The ED of an urban tertiary care children’s hospital.\n\nParticipants: Adolescents from 14 to 18 years of age, without acute or critical this website injuries or illness, presenting with nonpsychiatric symptoms.\n\nIntervention: The ED clinical staff initiated the use of the BHS-ED system, which identifies
and assesses adolescents for depression, suicidal ideation, posttraumatic stress, substance use, and exposure to violence. Treating clinicians reviewed results and followed routine care practices thereafter.\n\nMain Outcome Measures: Adoption rate of the BHS-ED system by nursing staff, identification rates of occult psychiatric problems,
and social worker or psychiatrist assessment. Data were collected for 19 months before implementation of the BHS-ED system and for 9 months during implementation.\n\nResults: Of 3979 eligible patients, 1327 (33.4%) were asked by clinical staff to get screened using the BHS-ED; of these 1327 patients, 857 (64.6%) completed the screening and 470 (35.4%) refused. During implementation, identification of FG-4592 cost adolescents with psychiatric problems increased significantly (4.2% vs 2.5%; odds ratio [OR], 1.70; 95% confidence interval [CI], 1.38-2.10), as did ED assessments by a social worker or psychiatrist (2.5% vs 1.7%; OR, 1.47; 95% CI, 1.13-1.90). Of the 857 patients who were screened with the BHS-ED, 90 (10.5%) were identified as having psychiatric problems (OR, 4.58; 95% CI, 3.53-5.94), and 71 (8.3%) were assessed
(OR, 5.12; 95% CI, 3.80-6.88).\n\nConclusions: In a busy pediatric ED, computerized, self-administered adolescent behavioral health screening can be incorporated into routine clinical practice. This can lead to small but significant increases in the identification of unrecognized psychiatric problems.”
“The relation selleck compound of the daily doses of erythemal UV at Uccle with total solar irradiation, total ozone column and the aerosol optical depth in the UV are investigated together with trends in these atmospheric parameters for the period 1990 to March 2007. It is shown that the trend in UV radiation is negative in January, August and December and positive the rest of the year. The correlations with total solar radiation, total ozone and aerosol optical depth at 320 nm are in the range of 0.90 to 0.99, -0.2 to -0.5 and -0.0 to -0.3, respectively. However the UV daily dose changes with up to 1.5% for a 1% change in total solar radiation, with -0.8% for a 1% change in aerosol optical depth and with only -0.1% for a 1% change in ozone, indicating the importance, on the short time-scale, of changes in aerosol properties for the UV irradiance reaching the surface.