Care Report Research Articles

Prise en charge des signalements de personnes non connues par des équipes de secteur en psychiatrie adulte

Community psychiatry teams are regularly required to take care of people's worrying situations (neighborhood trouble, home withdrawal, suicidal discourse, hostility, etc.). Despite this being a common activity in community psychiatry, we have found very little literature on the subject. However, this type of intervention often raises ethical, legal and organizational questions. A six-month survey leads to the analysis of 61 reports of individuals not previously known by the community psychiatry team. There is almost an equal number of men and women. People being reported are aged between 31 and 60, and 80% are unemployed. People reporting to psychiatric services are members of the family in most cases. The report's reasons are mostly neighborhood disorders, delusional ideas, and social withdrawal. Ten per cent of these reports have been redirected to an emergency department straight away. The answers to the reports are quite diverse according to the severity elements collected. The different actions after a report are: proposal for a consultation in the outpatient clinic (48%), home visit (35%), no intervention (17%), home visit followed by an hospitalization (9%). In 5% of the cases, a psychiatric consultation was proposed to the person reporting his relative. As a conclusion, working on report of patient's situation allowed us to evaluate 40% of the non-urgent situations and to propose sufficient mental health care. In this article, we describe the work of a multi-professional group from different areas in Paris. Sharing our practices leads to the elaboration of a guide for report's care and an information-gathering file to help the professionals in those types of interventions.

Reporting quality of case reports about dental trauma published in international journals 2008-2018 assessed by CARE guidelines.

The diagnosis and treatment of dental trauma are based primarily on observational evidence and case reports. The aim of this research is to assess the quality of reporting of case reports published from 2008 to 2018 in dental selected journals using the Care Report (CARE) guideline and to assess whether there was a change after publication of the CARE guidelines. A descriptive study of the publications available on PubMed from specialist journals was conducted. Searches were made for MESh and free keywords associated with dental trauma and tooth injuries. One calibrated evaluator (kappa-intra=0.87) using the CARE guidelines (max=30 points) evaluated all case reports published from 2008 to 2018 in relevant journals. The average score before and after 2013 was compared by t-test and regression modeling, and the description of each CARE item was analyzed. The search found 201 relevant articles published in Dent Traumatol 141 (70.1%), Eur Arch Paediatr Dent 10 (5.0%), Int J Clin Pediatr Dent 16 (8.0%), J Clin Pediatr Dent 19 (9.5%), and Pediatr Dent 15 (7.5%). The mean quality (± standard deviation) was 14.3 (±2.6), and range from 7 to 20. The number and mean (±SD) before the CARE guidelines were n=171, mean=14.3 (±2.6) and after the CARE guidelines were n=30, mean=14.7 (±2.7), (P=.39, t-test). No significant differences per journal or origin of the first author were found. The reporting quality of case reports about dental trauma in five international dental journals has not improved since the publication of the CARE guidelines. The lack of reporting of essential items in case reports suggests that journals could enhance their quality by requiring authors to adhere to the CARE guidelines or similar reporting guidelines.