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https://www.readbyqxmd.com/read/29933819/preventing-opioid-overdose-in-the-clinic-and-hospital-analgesia-and-opioid-antagonists
#1
REVIEW
Stephanie Lee Peglow, Ingrid A Binswanger
Drawing from existing opioid prescribing guidelines, this article describes how medical providers can reduce the risk of overdose. Through primary prevention, providers can prevent initial exposure and associated risks by educating patients, using risk stratification, minimizing opioid dose and duration, and avoiding coprescribing with sedatives. Secondary prevention efforts include monitoring patients with urine toxicology and prescription monitoring programs, and screening for opioid use disorders. Tertiary prevention includes treating opioid use disorders and providing naloxone to prevent overdose death...
July 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29923275/exploring-barriers-and-facilitators-in-the-implementation-and-use-of-guideline-recommendations-on-antipsychotic-drug-prescriptions-for-people-with-intellectual-disability
#2
Lotte Ramerman, Pieter J Hoekstra, Gerda de Kuijper
BACKGROUND: It is unknown why professionals' adherence to guideline recommendations on antipsychotic drug prescription in the intellectual disabilities care is insufficient. This study aimed to explore barriers and facilitators in the implementation and use of these recommendations. METHODS: In-depth interviews with four intellectual disability physicians, two psychiatrists and five behavioural scientists were used to explore the implementation and use of guideline recommendations...
June 20, 2018: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/29916032/-attention-deficit-hyperactivity-disorder-adhd-and-comorbid-mental-disorders-adhd-specific-self-rating-scales-in-differential-diagnostics
#3
M Paucke, T Stark, C Exner, C Kallweit, U Hegerl, M Strauß
BACKGROUND: It is still unclear how well the established attention deficit-hyperactive disorder (ADHD)-specific rating scales can differentiate between ADHD symptoms and symptoms of other mental disorders. METHODS: A total of 274 patients with suspected adult ADHD were extensively examined clinically and guideline-conform in an ADHD outpatient clinic. In 190 patients the diagnosis of ADHD could be made with certainty. The patients were also subsequently assessed according to the DSM IV criteria by self-rating scales on current (ADHS-SB, ASRS, CAARS) and retrospective (WURS-K) complaints...
June 18, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29913923/national-guidelines-for-evaluating-pain-patients-legal-right-to-prioritised-health-care-at-multidisciplinary-pain-clinics-in-norway-implemented-2009
#4
Karen Walseth Hara, Petter Borchgrevink
Background All nations are posed with the challenge of deciding how to allocate limited health care resources. A Patients' Rights Law from 1999 gives patients in Norway with a serious health condition, for which there is efficacious and cost-effective treatment, a legal right to receive health care from the National Health Care system. Methods Recently national guidelines have been produced for implementing these legal rights within 32 fields of specialist health care. One of these fields deals with serious chronic pain conditions...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29912217/-presa-in-carico-integrata-del-paziente-con-doppia-diagnosi-complessit%C3%A3-e-implicazioni-per-la-pratica-clinica
#5
Mario Vitali, Francesca Sorbo, Martino Mistretta, Giovanna Coriale, Marisa Patrizia Messina, Giovanni Alessandrini, Fabio Attilia, Claudia Rotondo, Simona Gencarelli, Roberta Ledda, Domenica Galli, Mauro Ceccanti
RIASSUNTO. Introduzione. La tutela della salute mentale in Italia, dopo la Legge Basaglia del 1978, è caratterizzata da trattamenti (di norma volontari) erogati da servizi centrati sulla comunità, che hanno allargato gli interventi al contesto di vita dell'individuo, alla sua rete di appartenenza e ai gruppi sociali di riferimento. La doppia diagnosi è definita dall'OMS come la «coesistenza nel medesimo individuo di un disturbo dovuto al consumo di sostanze psicoattive e di un altro disturbo psichiatrico»...
May 2018: Rivista di Psichiatria
https://www.readbyqxmd.com/read/29908718/effects-of-cognitive-and-motor-rehabilitation-in-non-convulsive-status-epilepticus-a-case-report
#6
Francesco Corallo, Viviana Lo Buono, Marcella Di Cara, Simona De Salvo, Giuliana Vermiglio, Patrizia Pollicino, Placido Bramanti, Silvia Marino, Carmela Rifici
Epilepsy is a neurological disorder characterized by recurrent and unpredictable interruptions of normal brain function, that implies neurobiologic, psychological, and social consequences. Non-convulsive status epilepticus (NCSE) is an electro-clinical state associated to altered level of consciousness. In NCSE could occur the behavioural and emotional disorder, cognitive impairment and psychiatric disorder with a negative impact on quality of life and adaptive social behaviours. Cognitive rehabilitation for epileptic patients may include internal compensation strategies, external memory aids, psychoeducation, verbal and visual memory training, attention exercise and executive functions...
June 13, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29898823/ideal-cardiovascular-health-and-its-association-with-sedentary-behaviour-and-fitness-in-psychiatric-patients-the-psychiactive-project
#7
J Bueno-Antequera, M Á Oviedo-Caro, D Munguía-Izquierdo
BACKGROUND AND AIMS: Ideal cardiovascular health (CVH) was defined as meeting ideal levels of 4 health behaviours (smoking, body mass index, physical activity, and diet) and 3 biological factors (blood pressure, total cholesterol, and glucose) and is inversely related to cardiovascular disease and mortality. However, the prevalence of ideal CVH in patients with severe mental illness and the possible independent associations of sedentary behaviour and fitness with CVH score are unexplored...
June 10, 2018: Nutrition, Metabolism, and Cardiovascular Diseases: NMCD
https://www.readbyqxmd.com/read/29898705/piloting-a-mental-health-training-programme-for-community-health-workers-in-south-africa-an-exploration-of-changes-in-knowledge-confidence-and-attitudes
#8
Goodman Sibeko, Peter D Milligan, Marinda Roelofse, Lezel Molefe, Deborah Jonker, Jonathan Ipser, Crick Lund, Dan J Stein
BACKGROUND: There is a shortage of trained mental health workers in spite of the significant contribution of psychiatric disorders to the global disease burden. Task shifting, through the delegation of health care tasks to less specialised health workers such as community health workers (CHWs), is a promising approach to address the human resource shortage. CHWs in the Western Cape province of South Africa provide comprehensive chronic support which includes that for mental illness, but have thus far not received standardized mental health training...
June 14, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29891821/adherence-to-european-clinical-practice-guidelines-for-secondary-prevention-of-cardiovascular-disease-a-cohort-study
#9
Josep Maria Pepió Vilaubí, Domingo Orozco-Beltrán, Alessandra Queiroga Gonçalves, Dolors Rodriguez Cumplido, Carina Aguilar Martin, Adriana Lopez-Pineda, Vicente F Gil-Guillen, Jose A Quesada, Concepcion Carratala-Munuera
To provide a better understanding of the actions taken within health systems and their results, this study aims to assess clinicians’ adherence to clinical practice guidelines regarding recommended treatments in patients with cardiovascular disease in primary care settings, and to determine the associated factors. We conducted an ambispective cohort study in 21 primary care centres in 8 Spanish regions. Patients diagnosed with coronary heart disease, stroke and/or peripheral arterial disease were included...
June 11, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29889067/patients-with-dementia-in-primary-care-who-is-referred-to-a-neurologist-psychiatrist-and-what-patient-oriented-factors-are-associated-with-the-visit
#10
Urs Strohmaier, Felix Keller, Ingo Kilimann, Bernhard Michalowsky, Diana Wucherer, Ina Zwingmann, Stefan Teipel, Wolfgang Hoffmann, Jochen René Thyrian
BACKGROUND: The current guidelines imply that basic medical diagnostics for dementia should be provided by general practitioners in cooperation with other specialists such as neurologists and psychiatrists. OBJECTIVES: The aims of this paper were to 1) compare the dementia patients of general practice residents whose care is co-managed by neurology/psychiatry residents with those whose care is not; 2) identify the patient variables associated with the utilization of neurological and psychiatric specialists; and 3) describe the frequency of imaging use a for dementia patients in primary care...
June 4, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29882731/-the-practice-of-special-observation-in-adults-in-the-german-speaking-part-of-switzerland-a-descriptive-cross-sectional-study
#11
Andrea Lienhardt, Franziska Rabenschlag, Eva-Maria Panfil
The practice of special observation in adults in the German-speaking part of Switzerland - a descriptive cross-sectional study Abstract. INTRODUCTION: Psychiatric Special Observation (PSO) is an intervention often used by nurses to prevent service users of harming themselves or to protect others. The intervention ranges between control and therapy and is resource intensive. Despite the widespread use of PSO, there is still no data on the practice of the intervention in Switzerland. AIM: What is the current practice of PSO in adults in psychiatric hospitals in the German-speaking part of Switzerland? METHOD: Descriptive cross-sectional study...
June 8, 2018: Pflege
https://www.readbyqxmd.com/read/29882463/joint-bap-napicu-evidence-based-consensus-guidelines-for-the-clinical-management-of-acute-disturbance-de-escalation-and-rapid-tranquillisation
#12
Maxine X Patel, Faisil N Sethi, Thomas Re Barnes, Roland Dix, Luiz Dratcu, Bernard Fox, Marina Garriga, Julie C Haste, Kai G Kahl, Anne Lingford-Hughes, Hamish McAllister-Williams, Aileen O'Brien, Caroline Parker, Brodie Paterson, Carol Paton, Sotiris Posporelis, David M Taylor, Eduard Vieta, Birgit Völlm, Charlotte Wilson-Jones, Laura Woods
The British Association for Psychopharmacology and the National Association of Psychiatric Intensive Care and Low Secure Units developed this joint evidence-based consensus guideline for the clinical management of acute disturbance. It includes recommendations for clinical practice and an algorithm to guide treatment by healthcare professionals with various options outlined according to their route of administration and category of evidence. Fundamental overarching principles are included and highlight the importance of treating the underlying disorder...
May 1, 2018: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/29882272/survey-of-the-european-psychiatric-association-on-the-european-status-and-perspectives-in-early-detection-and-intervention-in-at-risk-mental-state-and-first-episode-psychosis
#13
Nadja P Maric, Sanja Andric Petrovic, Andrea Raballo, Martina Rojnic-Kuzman, Joachim Klosterkötter, Anita Riecher-Rössler
AIM: Early detection/early intervention (ED/EI) programmes have been inconsistently implemented throughout Europe. We evaluated the ED/EI service distribution in European Psychiatric Association (EPA) member countries, considering indicators of socio-economic development, human and financial resources allocated in mental health (MH) as well as presence of a national branch of the Early Intervention in MH (IEPA). Contextually, we evaluated the duration of untreated psychosis (DUP) in relation to ED/EI service implementation...
June 8, 2018: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29882037/psychotropic-usage-by-patients-presenting-to-an-academic-eating-disorders-program
#14
Karuna Mizusaki, Daniel Gih, Christina LaRosa, Rebekah Richmond, Renee D Rienecke
PURPOSE: To assess psychotropic use patterns and possible associations with age, eating disorder diagnosis and psychiatric comorbidity in adolescents and young adults with a primary eating disorder. METHODS: A retrospective chart review of 86 consecutive patients with a primary eating disorder from August 2012 to December 2014 was conducted. Patients presented for a multidisciplinary evaluation at a United States-based academic program for eating disorders. RESULTS: Nearly half (45...
June 7, 2018: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/29874922/cardiovascular-safety-of-psychiatric-agents-a-cautionary-tale
#15
Theodora A Manolis, Antonis A Manolis, Antonis S Manolis
Psychiatric agents are among the most commonly prescribed medications. Despite the advent of newer generation agents, patients receiving them still experience cardiovascular (CV) side effects. However, these agents may have heterogeneous properties, calling for an individualized approach based on efficacy and also on the particular side effect profile of each specific agent. Proarrhythmic effects arising from drug-induced long-QT syndrome and consequent potentially life-threatening polymorphic ventricular arrhythmias in the form of torsade de pointes, the metabolic syndrome contributing to atherosclerosis and acute coronary syndromes, and drug-induced orthostatic hypotension raise major concerns...
January 1, 2018: Angiology
https://www.readbyqxmd.com/read/29873906/s3-guideline-for-the-treatment-of-psoriasis-vulgaris-update-short-version-part-2-special-patient-populations-and-treatment-situations
#16
Alexander Nast, Lasse Amelunxen, Matthias Augustin, Wolf-Henning Boehncke, Corinna Dressler, Matthew Gaskins, Peter Härle, Bernd Hoffstadt, Joachim Klaus, Joachim Koza, Ulrich Mrowietz, Hans-Michael Ockenfels, Sandra Philipp, Kristian Reich, Thomas Rosenbach, Berthold Rzany, Martin Schlaeger, Gerhard Schmid-Ott, Michael Sebastian, Ralph von Kiedrowski, Tobias Weberschock
The German guideline for the treatment of psoriasis vulgaris was updated using GRADE methodology. The guideline is based on a systematic literature review completed on December 1, 2016, and on a formal consensus and approval process. The second part of this short version of the guideline covers the following special patient populations and treatment situations: tuberculosis screening before and during psoriasis treatment, choice of psoriasis treatment for individuals wishing to have children, as well as during pregnancy and breast-feeding, and patients with joint involvement and vaccinations...
June 2018: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29872928/increased-risk-of-developing-psychiatric-disorders-in-children-with-attention-deficit-and-hyperactivity-disorder-adhd-receiving-sensory-integration-therapy-a-population-based-cohort-study
#17
Ruu-Fen Tzang, Yue-Cune Chang, Kai-Liang Kao, Yu-Hsin Huang, Hui-Chun Huang, Yu-Chiao Wang, Chih-Hsin Muo, Shu-I Wu, Fung-Chang Sung, Robert Stewart
Parents of children with attention deficit hyperactivity disorder (ADHD) have been found to prefer sensory integration (SI) training rather than guideline-recommended ADHD treatment. This study investigated whether SI intervention for children with ADHD was associated with a reduced risk of subsequent mental disorders. From children < 8-years-old newly diagnosed with ADHD in a nationwide population-based dataset, we established a SI cohort and a non-SI cohort (N =  1945) matched by propensity score...
June 5, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29869547/175-years-of-progress-in-ptsd-therapeutics-learning-from-the-past
#18
Murray B Stein, Barbara O Rothbaum
Traumatic stressors have always been a part of the human experience. What is now referred to as posttraumatic stress disorder (PTSD) was first studied in the context of military trauma during the Civil War and World War I but most extensively in World War II. Much of what we know about the medical and psychological management of PTSD has its origins in military psychiatric approaches, and a review of these practices reveals important tenets that should be applied in current treatment for both military and nonmilitary PTSD...
June 1, 2018: American Journal of Psychiatry
https://www.readbyqxmd.com/read/29866163/language-interpretation-conditions-and-boundaries-in-multilingual-and-multicultural-emergency-healthcare
#19
Christina Lundin, Emina Hadziabdic, Katarina Hjelm
BACKGROUND: With an increasing migrant population globally the need to organize interpreting service arises in emergency healthcare to deliver equitable high-quality care. The aims of this study were to describe interpretation practices in multilingual emergency health service institutions and to explore the impact of the organizational and institutional context and possible consequences of different approaches to interpretation. No previous studies on these issues in multilingual emergency care have been found...
June 5, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29865939/prevalence-and-risk-factors-of-suicidal-ideation-among-patients-with-head-and-neck-cancer-longitudinal-study
#20
Melissa Henry, Zeev Rosberger, Lia Bertrand, Christina Klassen, Michael Hier, Anthony Zeitouni, Karen Kost, Alex Mlynarek, Keith Richardson, Martin Black, Christina MacDonald, Xun Zhang, Gabrielle Chartier, Saul Frenkiel
Objectives (1) Determine 1-year period prevalence of suicidal ideation, suicide attempt, and completed suicide among patients newly diagnosed with a first occurrence of head and neck cancer (HNC). (2) Characterize stability and trajectory of suicidal ideation over the year following cancer diagnosis. (3) Identify patients at risk of suicidal ideation. Study Design Prospective longitudinal study with 1-year follow-up. Setting Three university-affiliated outpatient departments of otolaryngology-head and neck surgery...
May 1, 2018: Otolaryngology—Head and Neck Surgery
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