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Anxiety AND medication

Wei Chen, Huiyun Huang, Chuanxin Yang, Xiaoqing Hu, Fang Bao, Hui Jiang
PURPOSE: A prospective, randomized, single-blind, controlled clinical study was designed to evaluate the efficacy and tolerability of preoperative pregabalin on cardiovascular response to laryngoscopy and endotracheal intubation. METHODS: Patients aged 18-60 years with an American Society of Anesthesiologists scale score of I or II were recruited and randomly allocated to receive placebo (control), low-dose (150-mg) pregabalin, or high-dose (300-mg) pregabalin. The medications were orally administered 1 hour before general anesthesia...
December 12, 2018: Clinical Therapeutics
Gideon Lasco, Nicole Curato
Medical emergencies are staple features of today's 24/7 culture of breaking news. As politics becomes increasingly stylised, audiences fragmented, and established knowledge claims contested, health crises have become even more vulnerable to politicisation. We offer the vocabulary of medical populism to make sense of this phenomenon. We define medical populism as a political style based on performances of public health crises that pit 'the people' against 'the establishment.' While some health emergencies lead to technocratic responses that soothe anxieties of a panicked public, medical populism thrives by politicising, simplifying, and spectacularising complex public health issues...
December 7, 2018: Social Science & Medicine
Swati Sahoo, Brijesh S
Anxiety and depression, the most prevalent psychiatric disorders are co-morbid in nature affecting several people across the world. There is an increase in demand for complementary and alternative medicines, specifically herbal botanicals due to various side effects exhibited by conventional drugs. Herbal drugs mentioned in traditional medicines, face acceptance issues by the medical community due to lack of scientific data regarding their neurochemical pathways. Hence, there has been an increased interest in the quest to unravel the mechanisms of action of herbal psychotropics...
January 2019: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Elena Ros-Cucurull, Raúl Felipe Palma-Álvarez, Constanza Daigre, Carlos Jacas, Marta Perea, Marta Sorribes-Puertas, Marta Quesada, Rocío Martínez-Arias, Salvador Ros-Montalbán, Miguel Casas, Josep Antoni Ramos-Quiroga, Carlos Roncero, Lara Grau-López
Substance use disorder (SUD) is a worldwide concern that has its own particularities regarding age and sex. This study aims to assess the differences between old SUD women and men regarding socio-demographics, clinical factors and outcomes. A 6-months follow-up longitudinal study was conducted in an outpatient center, on a convenience sample of 115 SUD old adults (≥65 years old, average age of 71.57). Descriptive, bivariate, and multivariate analyses were performed. Data showed statistical significant differences between men and women related to sociodemographic variables (marital status, coexistence, criminal records and stress factors), medical and psychiatric conditions (women suffer higher rates of depression and anxiety, with worse health-related quality of life), family records (women had more presence of family psychiatric records) and SUD related parameters (men tend to use more alcohol, had an early onset, consume higher doses, report more craving and more tobacco life use while women had higher rates of prescription drugs use)...
December 2018: Psychiatry Research
Paul Trowbridge, Alexander Y Walley
: Tianeptine is an atypical antidepressant which exerts an opioid-like effect on the μ-opioid receptor. There is well documented intentional misuse and addiction to tianeptine in Europe, and this is increasingly being seen in the United States. We presented a case of buprenorphine/naloxone successfully being used to aid in cessation and subsequent abstinence from tianeptine after years of use. An additional consideration with tianeptine use is the potential for the development or re-emergence of depression and anxiety on cessation...
December 13, 2018: Journal of Addiction Medicine
Frances Marcus Lewis, Kristin A Griffith, Zainab Alzawad, Patricia L Dawson, Ellen H Zahlis, Mary Ellen Shands
OBJECTIVE: To test the short-term efficacy of a brief, fully manualized marital communication and interpersonal support intervention for couples facing recently diagnosed breast cancer. METHODS: A total of 322 women diagnosed within 6 months with Stage 0-III breast cancer and their 322 spouse caregivers were enrolled. Spouses in the experimental group received five, 30 to 60-minute intervention sessions at 2-week intervals by Masters prepared patient educators; controls received the booklet, "What's Happening to the Woman I Love?" Outcomes were assessed at 3, 6 and 9 months using Linear Mixed Models within an intent to treat analysis...
December 13, 2018: Psycho-oncology
Sarah C Shepherd, Belinda Hacking, Louise M Wallace, Sarah E Murdoch, Jeff Belkora
OBJECTIVE: UK healthcare policy for improving cancer outcomes supports participation of patients in care decisions with clinicians. Consultation Planning, Recording and Summarising (CPRS) has shown evidence of increasing patient decision self-efficacy, reducing uncertainty and regret of decisions. This is the first trial of CPRS within the colorectal cancer population and delivered over serial medical consultations. METHODS: This Randomised Controlled Trial compared usual care to the addition of CPRS over consecutive oncology consultations with newly diagnosed Colorectal Cancer (CRC) patients in Edinburgh, Scotland...
December 13, 2018: Psycho-oncology
Yara K Haddad, Mamta V Karani, Gwen Bergen, Zachary A Marcum
OBJECTIVE: To describe and compare two age groups' knowledge of medications linked to falls and willingness to change these medications to reduce their fall risk. METHOD: We analyzed data from community-dwelling adults age 55 and older (n = 1812): 855 adults aged 55 to 64 years and 957 older adults (65 and older) who participated in the 2016 summer wave of the ConsumerStyles survey, an annual Web-based survey. The data are weighted to match the US Current Population Survey proportions on nine US Census Bureau demographic characteristics...
December 13, 2018: Journal of the American Geriatrics Society
Emma Thomas, Mojtaba Lotfaliany, Sherry L Grace, Brian Oldenburg, C Barr Taylor, David L Hare, Wp Thanuja Rangani, Ds Anoja F Dheerasinghe, Dominique A Cadilhac, Adrienne O'Neil
BACKGROUND: Ageing populations and increasing survival following acute coronary syndrome has resulted in large numbers of people living with cardiovascular disease and at high risk of hospitalizations. Rising hospital admissions have a significant financial cost to the healthcare system. AIM: The purpose of this study was to determine whether cardiac rehabilitation is protective against long-term hospital readmission (frequency and length) following acute coronary syndrome...
December 14, 2018: European Journal of Cardiovascular Nursing
Rachel Langevin, Martine Hébert, Sébastien J Bergeron, Manon Duchesne, Yves Lambert, Ronald Chartrand, Jean-Yves Frappier
OBJECTIVE: The objective this study was to investigate the relative contributions of gender, common mental health symptoms, and experiences of interpersonal violence to the presence of sleep disturbances in Youth in Care under Child Welfare Society admitted to residential facilities. METHODS: A sample of 315 teenagers (14-18 years old) completed a self-reported questionnaire upon admission, followed by a medical consultation with a nurse and a physician. Information regarding experiences of interpersonal violence, mental health symptoms, and sleep disturbances was collected using a standardized questionnaire...
November 23, 2018: Sleep Medicine
Chun-Chieh Chao, Lung Hung Chen, Yin-Chou Lin, Shih-Hao Wang, Shih-Hao Wu, Wen-Cheng Li, Kuo-Feng Huang, Te-Fa Chiu, I-Chih Kuo
Chao, Chun-Chieh, Lung Hung Chen, Yin-Chou Lin, Shih-Hao Wang, Shih-Hao Wu, Wen-Cheng Li, Kuo-Feng Huang, Te-Fa Chiu, and I-Chih Kuo. Impact of a 3-day high-altitude trek on Xue Mountain (3886 m), Taiwan, on the emotional states of children: A prospective observational study. High Alt Med Biol. 18:000-000, 2018. AIMS: Changes in emotions associated with mountain treks have rarely been reported. This study examined emotional state changes in sixth-grade elementary school students before and after a 3-day high-altitude mountain trek from the trailhead (2140 m) to Xue Mountain (3886 m) in Taiwan...
December 13, 2018: High Altitude Medicine & Biology
Nahathai Wongpakaran, Tinakon Wongpakaran, Thanitha Sirirak, Rewadee Jenraumjit, Surin Jiraniramai, Peerasak Lerttrakarnnon
BACKGROUND: Polypharmacy is a geriatric syndrome defined variously as the use of potentially inappropriate drugs and/or the concurrent use of multiple medications including prescription and over-the-counter drugs. An association has been shown between polypharmacy and physical health, increased morbidity and increased mortality. However, there is little information regarding the association between polypharmacy and physical disease, personality trait and mental health problems in elderly...
December 12, 2018: BMC Geriatrics
Myriem Hammoud, Johanne Prudhomme, Laurence Champsaur, Maeva Jego
OBJECTIVE: To describe the mental health and disability of foster children in the Bouches-du-Rhône (BDR) department. METHODS: ESSPER-ASE 13 studied the physical and mental health of children managed by Child Welfare Services (CWS) of the BDR department. This descriptive cross-sectional survey was carried out from April 2013 to April 2014 and included 1,092 children placed in foster homes or in the custody of child care assistants. This survey explored the physical and mental health of the children and the characteristics of their medical follow-up...
May 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Mary Fran Tracy, Linda Chlan, Kay Savik, Debra J Skaar, Craig Weinert
BACKGROUND: Although potent sedative and opioid drugs are some of the most commonly used medications to manage pain, anxiety, and discomfort in critically ill patients, conducting clinical trials where sedative and opioid medications are outcome variables within a longitudinal research design can be a methodological challenge. OBJECTIVES: The purpose of this article is to provide in detail a conceptual discussion of the concept and analysis of sedative exposure: A novel research analysis method for aggregating sedative and opioid medication doses from disparate drug classes commonly administered to critically ill patients and used by our team in several clinical research studies...
January 2019: Nursing Research
Gil Bar-Sela, Dina Tauber, Inbal Mitnik, Hedva Sheinman-Yuffe, Tatiana Bishara-Frolova, Judith Aharon-Peretz
OBJECTIVES: In patients with cancer, the use of medical cannabis has increased significantly during the recent years. There is evidence that cannabis consumption may affect cognitive performance; however, this potential effect has not been investigated prospectively in patients with cancer to date. We aimed to evaluate the effect of cannabis consumption on cognitive abilities as well as on symptom relief in patients with cancer during chemotherapy treatment. PATIENTS AND METHODS: A prospective study was carried out on a group of 17 patients on cannabis treatment (case) who were compared with 17 patients not on cannabis treatment (control)...
January 2019: Anti-cancer Drugs
Dan Z Reinstein, Timothy J Archer, Ryan S Vida, Glenn I Carp
PURPOSE: To develop a comprehensive protocol for suction stability management during small incision lenticule extraction (SMILE). METHODS: This was a retrospective video review of all SMILE cases where suction loss occurred or eye movement was noted in the medical record. The different types of eye movement were collated. A suction stability grading scale was derived to represent the magnitude of eye movements. A decision tree protocol was developed to define the management in each scenario depending on the suction stability grading and the femtosecond laser cutting progress...
December 1, 2018: Journal of Refractive Surgery
Ashima Pyngottu, Helene Werner, Phaedra Lehmann, Christian Balmer
The absence of cardiac symptoms, the improved exercise tolerance and the increased life expectancy are the advantages of a successful cardiac device therapy. Nevertheless, the fact of a lifelong device dependency, the inherent possibility of device malfunction and the progression of the underlying heart disease may impact the health-related quality of life (HRQoL) and the psychological adjustment of these individuals. To date, an overview of findings on these topics is lacking. The objective of this study was to evaluate and summarize the current evidence on generic and disease-specific HRQoL and psychological adjustment in paediatric patients with a pacemaker (PM) or an implantable cardioverter defibrillator (ICD)...
December 11, 2018: Pediatric Cardiology
Cynthia L Holle, Mary A Turnquist, James L Rudolph
Natural disasters impact people of every age in the communities where they occur, with older adults being a vulnerable subset of the population. Most disaster shelter volunteer nurses are experienced in addressing common health needs of older adult clients such as diabetes, hypertension, and pulmonary disease. These nurses also have the requisite training to respond to more acute medical events, including the symptoms of a heart attack or stroke. They provide care and comfort to those suffering from the distress, anxiety, and fear caused by disasters...
December 9, 2018: Nursing Forum
Grace Lucas
Background: In recent decades, dominant models of mental illness have become increasingly focused on the head, with mental disorders being figured as brain disorders. However, research into the active role that the microbiome-gut-brain axis plays in affecting mood and behaviour may lead to the conclusion that mental health is more than an internalised problem of individual brains. Objective: This article explores the implications of shifting understandings about mental health that have come about through research into links between the gut microbiome and mental health problems such as depression and anxiety...
2018: Microbial Ecology in Health and Disease
Abby V Winterberg, Lili Ding, Lauren M Hill, Bobbie L Stubbeman, Anna M Varughese
BACKGROUND: Anxiety and distress behaviors during anesthesia induction are associated with negative postoperative outcomes for pediatric patients. Documenting behavioral responses to induction is useful to evaluate induction quality at hospitals and to optimize future anesthetics for returning patients, but we lack a simple tool for clinical documentation. The Induction Compliance Checklist is a tool for grading induction behaviors that is well validated for research purposes, but it is not practical for routine documentation in busy clinical practice settings...
December 7, 2018: Anesthesia and Analgesia
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