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https://www.readbyqxmd.com/read/27903206/long-term-outcomes-after-severe-drug-overdose
#1
Lee Y Wong, Rinaldo Bellomo, Ray Robbins, Johan Martensson, Richard Kanaan, Richard Newton, Chih-Chiang Hu, David M Taylor
OBJECTIVE: The long-term outcomes of patients with drug overdose admitted to the intensive care unit compared with those admitted to general wards have not been assessed. We aimed to compare the recurrence of overdose, mortality after hospital discharge, cause of death and quality-of-life scores (using the EQ-5D questionnaire) between the ICU patients and general ward patients. METHODS: We performed a retrospective cohort study of 102 ICU patients with drug overdose and 102 matched general ward patients with drug overdose in a university-affiliated teaching hospital between 2009 and 2013...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27893242/work-based-learning-a-training-model-for-state-wide-system-changes
#2
Zakia Clay, Nora Barrett, Ann Reilly, Anthony Zazzarino
TOPIC: Despite the substantial amount of money invested in staff training each year, many people trained fail to transfer what they learn to the workplace. We document a training initiative that was implemented to develop and maintain a competent workforce. PURPOSE: A work-based learning (WBL) model was used as a guide to teach the knowledge and skills necessary to effectively deliver psychiatric rehabilitation services. SOURCES USED: This training framework afforded practitioners an opportunity to acquire the critical knowledge and skills to improve the quality of life for individuals living with serious mental illnesses...
December 2016: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/27873517/reliability-and-validity-of-the-korean-version-of-the-lifetime-stressor-checklist-revised-in-psychiatric-outpatients-with-anxiety-or-depressive-disorders
#3
Kang Rok Choi, Daeho Kim, Eun Young Jang, Hwallip Bae, Seok Hyeon Kim
PURPOSE: Traumatic events and adverse stressful experiences are major etiological factors in a wide variety of physical and mental disorders. Developing psychological instruments that can be easily administered and that have good psychometric properties have become an integral part for research and practice. This study investigated the reliability and validity of the Korean version of the Lifetime Stressor Checklist-Revised (LSC-R) in a consecutive sample of psychiatric outpatients. The LSC-R is a 30-item self-reporting questionnaire examining lifetime traumatic and non-traumatic stressors...
January 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/27856788/incidence-rate-and-patterns-of-physical-restraint-use-among-adult-patients-in-malaysia
#4
Fatemeh Eskandari, Khatijah Lim Abdullah, Nor Zuraida Zainal, Li Ping Wong
Incidence rate and patterns of physical restraint use were examined based on a cross-sectional study in 22 wards of a large teaching hospital in Malaysia. Results indicated that the highest rate of physical restraint (19.7%) was reported from neurology-neurosurgery wards. "Un-cooperative for electroconvulsive therapy" and "trying to pull out catheters" were the most commonly reported reasons to use restraint in psychiatric and non-psychiatric wards, respectively. There were some relationships between patterns of physical restraint in this study...
November 16, 2016: Clinical Nursing Research
https://www.readbyqxmd.com/read/27843859/a-study-to-find-depression-in-patients-attending-dermatological-opd-in-a-teaching-hospital
#5
Abhinit Kumar, Kunal Kumar, Praneta Swarup, Shitiz Goel, Abhay Singh Tomar
INTRODUCTION: The relationship between skin and the brain exists because the brain, as the center of psychological functions, and the skin have the same ectodermal origin and are affected by the same hormones and neurotransmitters. Skin disorder can be a potential source of emotional distress and psychiatric illness leading to impaired psychosocial adjustments. AIMS AND OBJECTIVES: The aim and objective of this study was to find psychiatric depression in patients attending dermatology outpatient department (OPD)...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27798396/maternal-experiences-in-a-parenting-group-delivered-in-an-urban-general-pediatric-clinic
#6
Mary C Kimmel, Fallon Cluxton-Keller, Emily Frosch, Tracy Carter, Barry S Solomon
Untreated perinatal mood and anxiety disorders can result in impaired maternal-infant interactions. Pediatricians have a unique opportunity to identify and support mothers with mood and anxiety disorders. A parenting intervention, Circle of Security, was delivered in a pediatric clinic targeting women with mood and anxiety disorders. A qualitative assessment of the program's acceptability, participant engagement, and general experiences was conducted. Data collection included medical record abstraction, semistructured psychiatric diagnostic interviews, and semistructured questionnaires...
October 23, 2016: Clinical Pediatrics
https://www.readbyqxmd.com/read/27779291/-the-tasks-and-aims-of-hospital-psychiatry-today-and-in-the-future
#7
A Honig, D Sierink, B Verwey
Care provided by consultation-liaison (CL) psychiatry and general hospital (GH) psychiatry varies widely. This means that certain services are almost unrecognisable and therefore less readily available to patients. <br/> AIM: To describe the core tasks of current CL- and GH-psychiatry care and to suggest how these tasks can best be performed and developed in the future.<br/> METHOD: We conducted a selective review of relevant CL- and GH-related literature and combined the information we obtained with the results of a consultation with CL-psychiatrists about how CL- and GL psychiatry should function in the future...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/27778149/the-stafford-interview-a-comprehensive-interview-for-mother-infant-psychiatry
#8
Ian Brockington, Prabha Chandra, Alessandra Bramante, Hettie Dubow, Walaa Fakher, LLuïsa Garcia-Esteve, Kristina Hofberg, Suaad Moussa, Bruma Palacios-Hernández, Ylva Parfitt, Pey-Ling Shieh
This article describes an interview exploring the social, psychological and psychiatric events in a single pregnancy and puerperium. It has been in development since 1992 and is now in its 6th edition. It takes approximately 2 h to administer and has 130 compulsory probes and 185 ratings. It is suitable for clinical practice, teaching and research.
October 24, 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27771312/long-term-outcomes-of-gastric-band-removal-without-additional-bariatric-surgery
#9
Andreas Rohner, Jeannette D Widmer, Jennifer Klasen, Anita Scheiwiller, Dominik Muller, Markus K Muller
OBJECTIVE: The outcomes of patients undergoing band removal alone without an additional bariatric procedure after laparoscopic gastric banding are not well reported. We seek to close this gap in the literature. SETTING: Cantonal Hospital & University Teaching Hospital, Switzerland METHODS: In this retrospective study, we investigated 21 patients who underwent band removal with a mean follow-up of 63 months. Weight regain, co-morbidities, and quality of life were assessed...
September 14, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27764722/integration-of-military-and-veteran-health-in-a-psychiatric-mental-health-bsn-curriculum-a-mindful-analysis
#10
Edna Ruiz Magpantay-Monroe
The military and veteran populations in the U. S. state of Hawaii have a strong presence in the local communities. It was this substantial presence that provided the impetus to integrate military and veteran health into a Bachelor's of Science in Nursing (BSN) curriculum. This exploratory study investigated the relationship between the integration of military and veteran health into a psychiatric mental health BSN curriculum and nursing students' understanding of the many facets of military veterans' health...
January 2017: Nurse Education Today
https://www.readbyqxmd.com/read/27752943/dsm-5-teaching-materials-a-critical-review
#11
Michael D Jibson, Lisa S Seyfried
OBJECTIVE: The publication of DSM-5 by the American Psychiatric Association (APA) in 2013 was accompanied by the release of a series of APA-approved "essential guides" to aid clinicians and trainees in its use and the transition from DSM-IV. Several of these were explicitly designated as study guides, but all serve educational as well as clinical functions. To assist trainees and educators in their selection of appropriate materials for study and teaching, several of these books were reviewed from the perspective of psychiatry education...
October 17, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27751503/the-role-of-dopamine-in-positive-and-negative-prediction-error-utilization-during-incidental-learning-insights-from-positron-emission-tomography-parkinson-s-disease-and-huntington-s-disease
#12
David Mathar, Leonora Wilkinson, Anna K Holl, Jane Neumann, Lorenz Deserno, Arno Villringer, Marjan Jahanshahi, Annette Horstmann
Incidental learning of appropriate stimulus-response associations is crucial for optimal functioning within our complex environment. Positive and negative prediction errors (PEs) serve as neural teaching signals within distinct ('direct'/'indirect') dopaminergic pathways to update associations and optimize subsequent behavior. Using a computational reinforcement learning model, we assessed learning from positive and negative PEs on a probabilistic task (Weather Prediction Task - WPT) in three populations that allow different inferences on the role of dopamine (DA) signals: (1) Healthy volunteers that repeatedly underwent [(11)C]raclopride Positron Emission Tomography (PET), allowing for assessment of striatal DA release during learning, (2) Parkinson's disease (PD) patients tested both on and off L-DOPA medication, (3) early Huntington's disease (HD) patients, a disease that is associated with hyper-activation of the 'direct' pathway...
September 19, 2016: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/27748659/healthcare-resource-use-and-costs-in-long-term-survivors-of-acute-respiratory-distress-syndrome-a-5-year-longitudinal-cohort-study
#13
A Parker Ruhl, Minxuan Huang, Elizabeth Colantuoni, Robert K Lord, Victor D Dinglas, Alexandra Chong, Kristin A Sepulveda, Pedro A Mendez-Tellez, Carl B Shanholtz, Donald M Steinwachs, Peter J Pronovost, Dale M Needham
OBJECTIVE: To evaluate the time-varying relationship of annual physical, psychiatric, and quality of life status with subsequent inpatient healthcare resource use and estimated costs. DESIGN: Five-year longitudinal cohort study. SETTING: Thirteen ICUs at four teaching hospitals. PATIENTS: One hundred thirty-eight patients surviving greater than or equal to 2 years after acute respiratory distress syndrome. INTERVENTIONS: None...
September 29, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27723924/-trauma-informed-peer-counselling-in-the-care-of-refugees-with-trauma-related-disorders
#14
Wolfgang Wöller
Providing adequate culture-sensitive care for a large number of refugees with trauma-related disorders constitutes a major challenge. In this context, peer support and trauma-informed peer counselling can be regarded as a valuable means to complement the psychosocial care systems. In recent years, peer support and peer education have been successfully implemented e. g. in health care education, in psychiatric care, and in the treatment of traumatized individuals. Only little research data is available for traumatized refugees...
September 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27689948/professional-veterinary-programs-perceptions-and-experiences-pertaining-to-emotional-support-animals-and-service-animals-and-recommendations-for-policy-development
#15
Regina Schoenfeld-Tacher, Lori R Kogan
Given the unique nature of programs in professional veterinary medicine (PVM), the increasing numbers of students requesting accommodations for emotional support animals (ESAs) in higher education settings is of growing interest to student affairs and administrative staff in PVM settings. Since the legislation pertaining to this type of support animal differs from the laws governing disability service animals, colleges and universities now need to develop new policies and guidelines. Representatives from a sample of 28 PVM programs completed a survey about the prevalence of student requests for ESAs and service animals...
September 30, 2016: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/27685872/clinical-pharmacology-in-denmark-in-2016-40-years-with-the-danish-society-of-clinical-pharmacology-and-20-years-as-a-medical-speciality
#16
REVIEW
Kim Brøsen, Stig Ejdrup Andersen, Jeanett Borregaard, Hanne Rolighed Christensen, Palle Mark Christensen, Kim Peder Dalhoff, Per Damkier, Jesper Hallas, Jens Heisterberg, Niels Jessen, Gesche Jürgens, Jens Peter Konnerup Kampmann, Britt Elmedal Laursen, Torben Laursen, Lars Peter Nielsen, Birgitte Klindt Poulsen, Henrik Enghusen Poulsen, Ljubica Vukelic Andersen, Thomas Senderovitz, Jesper Sonne
The Danish Society of Clinical Pharmacology was founded in 1976, and mainly thanks to the persistent efforts of the society, clinical pharmacology became an independent medical speciality in Denmark in 1996. Since then, clinical pharmacology has gone from strength to strength. In the Danish healthcare system, clinical pharmacology has established itself as an indispensible part of the efforts to promote the rational, safe and economic use of drugs. Clinical pharmacologists are active in drug committees both in hospitals and in the primary sector...
December 2016: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/27608678/ethiopian-teachers-their-knowledge-attitude-and-practice-towards-epilepsy
#17
Meron Awraris Gebrewold, Fikre Enquselassie, Redda Teklehaimanot, Seid Ali Gugssa
BACKGROUND: In Ethiopia where the burden of epilepsy is highest among school age children and teenagers, and where people with epilepsy (PWE) and their relatives suffers from high level of perceived stigma, there had not been any study that assessed the knowledge, attitude and practice of teachers towards PWE. This study aims to assess and understand the social and demographic determinants of knowledge, attitude and practice of teachers towards PLW in Addis Ababa, Ethiopia. METHODS: Multistage cluster sampling procedure was used to identify twenty schools from three sub cities of Addis Ababa, Ethiopia...
September 8, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27606002/effect-of-accreditation-on-length-of-stay-in-psychiatric-inpatients-pre-post-accreditation-medical-record-comparison
#18
Mohammed Abdullah Al-Sughayir
BACKGROUND: An interest in hospital accreditation is growing rapidly among many countries to enhance the quality of health care services. The literature showed a positive association between accreditation and some processes of health care. One of the main factors that influence bed availability is the length of hospital stay (LOS), which is considered as an important indicator of the quality of inpatient psychiatric hospitalization. We aimed to investigate whether hospital accreditation drives improvements for the length of stay in psychiatric inpatients...
2016: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/27603744/-good-enough-psychiatric-residency-training-in-borderline-personality-disorder-challenges-choice-points-and-a-model-generalist-curriculum
#19
Brandon T Unruh, John G Gunderson
While the public health burden posed by borderline personality disorder (BPD) rivals that associated with other major mental illnesses, the prevailing disposition of psychiatrists toward the disorder remains characterized by misinformation, stigma, aversive attitudes, and insufficient familiarity with effective generalist treatments that can be delivered in nonspecialized health care settings. Residency training programs are well positioned to better equip the next generation of psychiatrists to address these issues, but no consensus or guidelines currently exist for what and how residents should be taught about managing BPD...
September 2016: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/27577925/the-epidemiology-of-adverse-drug-events-and-medication-errors-among-psychiatric-inpatients-in-japan-the-jade-study
#20
Nobutaka Ayani, Mio Sakuma, Takeshi Morimoto, Toshiaki Kikuchi, Koichiro Watanabe, Jin Narumoto, Kenji Fukui
BACKGROUND: Knowledge of the epidemiology of adverse drug events (ADEs) and medication errors in psychiatric inpatients is limited outside Western countries. The nature of ADEs and medication errors are important for improving the quality of care worldwide; therefore, we conducted the Japan Adverse Drug Events Study, a series of cohort studies at several settings in Japan. METHODS: This report included 448 inpatients with 22,733 patient-days in a psychiatric hospital and psychiatric units at a tertiary care teaching hospital over 1 year...
2016: BMC Psychiatry
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