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Psychiatric Centers

Selvira Draganović
INTRODUCTION: Providing good mental health services to the vulnerable and needy should be of utmost importance to all mental health professionals. To be able to do so, professionals require to be, not only educated but actually properly trained and supervised in specially, among various skills, psychotherapy orientation. Unlike developed countries, psychotherapy services and professional career in psychotherapy in Bosnia and Herzegovina (B&H) is relatively new primarily due to the recent historical developments and events in B&H...
July 2018: Psychiatria Danubina
Na Young Jung, Chang Kyu Park, Minsoo Kim, Phil Hyu Lee, Young Ho Sohn, Jin Woo Chang
OBJECTIVE Recently, MR-guided focused ultrasound (MRgFUS) has emerged as an innovative treatment for numerous neurological disorders, including essential tremor, Parkinson's disease (PD), and some psychiatric disorders. Thus, clinical applications with this modality have been tried using various targets. The purpose of this study was to determine the feasibility, initial effectiveness, and potential side effects of unilateral MRgFUS pallidotomy for the treatment of parkinsonian dyskinesia. METHODS A prospective, nonrandomized, single-arm clinical trial was conducted between December 2013 and May 2016 at a single tertiary medical center...
August 10, 2018: Journal of Neurosurgery
Pankajakshan Vijayanthi Indu, Chandran Remany Jinu, Noorudheen Razi Pallikkal, Ramya Sampathkumar, Jomon Joy
Background: Prevalence of both domestic violence (DV) and alcohol use is reported to be high in Kerala. The prevalence of DV and psychological morbidity in spouses of alcohol-dependent males has not been studied objectively. Methods: This cross-sectional study was undertaken to study the occurrence of DV and psychological morbidity-major depressive disorder (MDD), anxiety disorders, and adjustment disorders-in spouses of alcohol-dependent males attending the de-addiction center of a tertiary care hospital in South India...
July 2018: Indian Journal of Psychological Medicine
Clifford A Reilly, Sara Wiesel Cullen, Bradley V Watts, Peter D Mills, Douglas E Paull, Steven C Marcus
BACKGROUND: Adverse events and medical errors have been shown to be a persistent issue in health care. However, little research has been conducted regarding the efficacy of incident reporting systems, particularly within an inpatient psychiatry setting. METHODS: The medical records from a random sample of 40 psychiatric units within Veterans Health Administration (VHA) medical centers were screened and evaluated by physicians for 9 types of safety events. The abstracted safety events were then evaluated to assess if they were caused by an error and if they caused harm to the patient...
August 6, 2018: Joint Commission Journal on Quality and Patient Safety
Claudio Gruber Mann, Simone Monteiro
Despite major strides in the Psychiatric Reform and high HIV rates among users of mental health services, there is a lack of prevention policies for this population. The gap is further aggravated by mental health professionals' difficulty in approaching the sexuality of mental health care users. The article analyzes the perceptions and practices of mental health professionals concerning these issues in three service models in the Network of Psychosocial Care (RAPS) in the city of Rio de Janeiro, Brazil. Eight focus groups were held with mental health care teams from a public university institution in a Center for Psychosocial Care III (CAPS III) and a Street Outreach Service...
August 6, 2018: Cadernos de Saúde Pública
Amelia Rizzo, Maria Rosaria Anna Muscatello, Massimo Autunno, Cinzia Borgese, Gianluca Pandolfo, Rocco Antonio Zoccali, Antonio Bruno
INTRODUCTION: Several studies highlighted the presence of anxiety, depression and anger in headache patients, however the results are not always consistent. The aim of this work was to explore the link between the different components of anger, the level of depression, trait and state anxiety, and the diagnostic parameters such as frequency and duration of the headache attacks. MATERIALS AND METHODS: Eighty patients referred to the Headache center of Messina University Hospital G...
July 2018: Recenti Progressi in Medicina
Joseph Biederman, Maura Fitzgerald, Anna-Mariya Kirova, K Yvonne Woodworth, Itai Biederman, Stephen V Faraone
BACKGROUND: While the diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) have evolved over the years, some children with impairing ADHD symptoms fail to meet the full diagnostic threshold for the disorder. The main aim of this study was to evaluate the morbidity and dysfunction of subsyndromal ADHD in the clinical setting. METHODS: Subthreshold and full ADHD subjects were derived from consecutive referrals (n = 2,947) to a pediatric psychopharmacology program at a major academic center...
August 7, 2018: Journal of Clinical Psychiatry
Şerif Kurtuluş, Zafer Hasan Ali Sak, Remziye Can
OBJECTIVES: Displacement, for whatever reason, is an urgent situation that affects both the migrant and the migratory society in a holistic manner, and that especially hurts Middle Eastern societies. Studies show that health problems experienced as a result of immigration are important in terms of cost reduction and quality of life. This study aimed to investigate chest diseases (CD) among refugees living in a tent camp and Turkish citizens living in the district Şanlıurfa Ceylanpınar which is located in the South East of the Turkey...
July 2018: Turkish Thoracic Journal
A Schandrin, J Norton, S Raffard, B Aouizerate, F Berna, L Brunel, I Chereau-Boudet, T D'Amato, H Denizot, C Dubertret, J Dubreucq, C Faget, G Fond, F Gabayet, P M Llorca, J Mallet, D Misdrahi, C Passerieux, R Rey, F Schurhoff, M Urbach, S Bonnet, D Capdevielle
BACKGROUND: Aggressiveness is a stigma frequently associated with schizophrenia. The role of insight as a risk factor of aggressiveness remains contradictory; mainly because single measures of these states mask their complexity and heterogeneity. METHODS: This study was conducted on 666 patients aged 15 and above with a DSM-IV-TR diagnosis of schizophrenia spectrum disorder, drawn from the French national network of schizophrenia expert center database. Collected data comprised socio-demographics and standardized psychiatric assessments...
August 3, 2018: Schizophrenia Research
Stéphanie Klein Tuente, Stefan Bogaerts, Sarah van IJzendoorn, Wim Veling
BACKGROUND: Many patients residing in forensic psychiatric centers have difficulties regulating their aggression in an adequate manner. Therefore, they are frequently involved in conflicts. Evidenced-based aggression therapies in forensic psychiatry are scarce, and due to the highly secured environment, it is hard to practice real-life provocations. We have developed a Virtual Reality aggression prevention training (VRAPT), providing safe virtual environments, in which patients can practice controlling their aggressive behaviors in an adequate way...
August 6, 2018: BMC Psychiatry
Hyoun S Kim, David C Hodgins, Albina R Torres, Leonardo F Fontenelle, Maria Conceição do Rosário, Maria Alice de Mathis, Ygor A Ferrão, Euripedes C Miguel, Hermano Tavares
AIM: The present research assessed the rates as well as the demographic, clinical, and psychiatric correlates associated with comorbid obsessive-compulsive disorder (OCD) and compulsive buying disorder (CBD). METHOD: Participants were drawn from a large (N = 993) multi-center study of people seeking treatment for their OCD. The diagnoses of psychiatric disorders were made using the Structured Clinical Interview for DSM by registered psychologists and psychiatrists...
July 29, 2018: Comprehensive Psychiatry
(no author information available yet)
This final rule updates the prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. These changes are effective for IPF discharges occurring during the fiscal year (FY) beginning October 1, 2018 through September 30, 2019 (FY 2019). This final rule also updates the IPF labor-related share, the IPF wage index for FY 2019, and the International Classification of Diseases 10th Revision, Clinical Modification (ICD- 10-CM) codes for FY 2019...
August 6, 2018: Federal Register
Somenath Sarkar, Tanusree Sarkar, Arnab Sarkar, Swagata Das
Background: Vitiligo is an idiopathic acquired progressive de/hypopigmentary disorder of skin and mucosae. In Indian skin depigmentaion is very much obvious and can cause psychological distress, low self esteem and social stigmatization. Aims: The primary objective of this study was to evaluate the psychiatric morbidity in vitiligo patients and secondary objective was to assess the morbidity in all eight dimensions of psychosocial and physical aspects, i.e. cognitive, social, discomfort, limitations, depression, fear, embarrassment and anger...
July 2018: Indian Journal of Dermatology
Donna M Evon, Paul W Stewart, Jipcy Amador, Marina Serper, Anna S Lok, Richard K Sterling, Souvik Sarkar, Carol E Golin, Bryce B Reeve, David R Nelson, Nancy Reau, Joseph K Lim, K Rajender Reddy, Adrian M Di Bisceglie, Michael W Fried
BACKGROUND: Symptom burden, medical comorbidities, and functional well-being of patients with chronic hepatitis C virus (HCV) initiating direct acting antiviral (DAA) therapy in real-world clinical settings are not known. We characterized these patient-reported outcomes (PROs) among HCV-infected patients and explored associations with sociodemographic, liver disease, and psychiatric/substance abuse variables. METHODS AND FINDINGS: PROP UP is a large US multicenter observational study that enrolled 1,600 patients with chronic HCV in 2016-2017...
2018: PloS One
Jonathan P Heldt, Michael F Zito, Ariel Seroussi, Sharlena P Wilson, Paul L Schneider, Thomas B Strouse, Erick H Cheung
BACKGROUND: The use of involuntary psychiatric holds (IPH) to detain patients who lack the capacity to make health care decisions due to nonpsychiatric conditions is common. While this practice prevents patient harm, it also deprives civil liberties, risks liability for false imprisonment, and may hinder disposition. Medical incapacity hold (MIH) policies, which establish institutional criteria and processes for detaining patients who lack capacity but do not meet criteria for an IPH, provide a potential solution...
June 14, 2018: Psychosomatics
Robert Suchting, Charles E Green, Stephen M Glazier, Scott D Lane
Recent advances in data science were used capitalize on the extensive quantity of data available in electronic health records to predict patient aggressive events. This retrospective study utilized electronic health records (N = 29,841) collected between January 2010 and December 2015 at Harris County Psychiatric Center, a 274-bed safety net community psychiatric facility. The primary outcome of interest was the presence (1.4%) versus absence (98.6%) of an aggressive event toward staff or patients. The best-performing algorithm, penalized generalized linear modeling, achieved an area under the curve = 0...
July 21, 2018: Psychiatry Research
Elisabetta Indelicato, Wolfgang Nachbauer, Elfriede Karner, Andreas Eigentler, Michaela Wagner, Iris Unterberger, Werner Poewe, Margarete Delazer, Sylvia Boesch
BACKGROUND: CACNA1A encodes the α1-subunit of the neuronal calcium channel P/Q. CACNA1A mutations underlie three allelic disorders: familial hemiplegic migraine type 1 (FHM1), episodic ataxia type 2 (EA2) and spinocerebellar ataxia type 6. A clear-cut genotype-phenotype correlation is often lacking since clinical manifestations may overlap. Several case reports have described cognitive and behavioral features in CACNA1A disorders, but studies in larger case series are lacking. METHODS: Genetically confirmed CACNA1A cases were retrieved from the database of the ataxia outpatient-clinic of the Department of Neurology at Innsbruck Medical University...
July 31, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Taeho Greg Rhee, Benjamin D Capistrant, Jon C Schommer, Ronald S Hadsall, Donald L Uden
BACKGROUND: Depression is a common mental condition in U.S. older adults. To improve rates of underdiagnosis and undertreatment for depression and other mental health conditions in primary care settings, the U.S. Preventive Services Task Force (USPSTF) updates and disseminates its depression screening guideline regularly. OBJECTIVE: To examine the effects of the 2009 USPSTF depression screening recommendation on the 3 following outcomes: diagnoses of mental health conditions, antidepressant prescriptions (overall and potentially inappropriate), and provision of nonpharmacological psychiatric services in office-based outpatient primary care visits made by adults aged 65 or older...
August 2018: Journal of Managed Care & Specialty Pharmacy
Mukul Sharma, Robert G Hart, Eric E Smith, Jackie Bosch, Fei Yuan, Amparo Casanova, John W Eikelboom, Stuart J Connolly, Gloria Wong, Rafael Diaz, Patricio Lopez-Jaramillo, Georg Ertl, Stefan Störk, Gilles R Dagenais, Eva M Lonn, Lars Ryden, Andrew M Tonkin, John D Varigos, Deepak L Bhatt, Kelley Rh Branch, Jeffrey L Probstfield, Jae-Hyung Kim, Jong-Won Ha, Martin O'Donnell, Dragos Vinereanu, Keith Aa Fox, Yan Liang, Lisheng Liu, Jun Zhu, Nana Pogosova, Aldo P Maggioni, Alvaro Avezum, Leopoldo S Piegas, Katalin Keltai, Matyas Keltai, Nancy Cook Bruns, Scott Berkowitz, Salim Yusuf
Background Covert vascular disease of the brain manifests as infarcts, white matter hyperintensities, and microbleeds on MRI. Their cumulative effect is often a decline in cognition, motor impairment, and psychiatric disorders. Preventive therapies for covert brain ischemia have not been established but represent a huge unmet clinical need. Aims The MRI substudy examines the effects of the antithrombotic regimens in COMPASS on incident covert brain infarcts (the primary outcome), white matter hyperintensities, and cognitive and functional status in a sample of consenting COMPASS participants without contraindications to MRI...
July 30, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
Leorides Severo Duarte-Guerra, Bruno Mendonça Coêlho, Marco Aurélio Santo, Francisco Lotufo-Neto, Yuan-Pang Wang
BACKGROUND: Psychiatric disorders tend to distribute unevenly in women and men with severe obesity. The current research aimed to identify homogeneous clusters of concurrent psychiatric disorders among patients seeking bariatric surgery, by gender. METHODS: We recruited a consecutive sample of 393 candidates with obesity (311 women and 82 men) in a university-based bariatric center. Trained clinicians assessed psychiatric disorders through the Structured Clinical Interview for DSM-IV (SCID)...
July 17, 2018: Journal of Affective Disorders
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