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Guideline And Psychiatry

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https://www.readbyqxmd.com/read/30111187/discoveries-on-the-genetics-of-adhd-in-the-21st-century-new-findings-and-their-implications
#1
Anita Thapar
The 21st century has witnessed the discovery of multiple rare and common gene variants associated with attention deficit hyperactivity disorder (ADHD), and these discoveries have already provided a starting point for the investigation of the biology of the disorder and novel treatments. The purpose of this selective review is to examine genetic findings from the past 5 years and consider their implications for the conceptualization of ADHD and future clinical practice. Recent discoveries reveal the strong genetic overlaps between ADHD and autism spectrum disorder (ASD) as well as intellectual disability...
August 16, 2018: American Journal of Psychiatry
https://www.readbyqxmd.com/read/30109423/-diseases-of-the-schizophrenia-spectrum-disorder-in-old-age-diagnostic-and-therapeutic-challenges
#2
REVIEW
Christian Jagsch, Alex Hofer
BACKGROUND: The number of people with diseases of the schizophrenia spectrum in old age will increase significantly in the coming years. In the literature the topics of schizophrenia and delusional disorders in older and old people are inadequately represented. AIM: This article gives an overview of the most important diagnostic and differential diagnostic characteristics. Another important aspect is the pharmacological and non-pharmacological treatment options in old age...
August 14, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/30089754/deep-brain-stimulation-for-intractable-obsessive-compulsive-disorder-the-international-and-japanese-situation-scenario
#3
Kenji Sugiyama, Takao Nozaki, Tetsuya Asakawa, Tetsuro Sameshima, Schinichiro Koizumi, Hisaya Hiramatsu, Hiroki Namba
Deep brain stimulation (DBS) is used to treat symptoms by modulating the cortico-striato-thalamo-cortical (CSTC) loop in the central nervous system (CNS), and attempts to research loop circuit disorders have been globally initiated among the intractable neurological and psychiatric disorders. DBS treatment has been evaluated for all these newly found CNS loop circuit disorders. In 2011, neurosurgical treatments for psychiatric disorders were renamed from "psychosurgery" to "neurosurgery for psychiatric disorders (NPD)" by the World Society for Stereotactic and Functional Neurosurgery (WSSFN)...
August 9, 2018: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/30080117/-%C3%AF-neuropsychiatric-manifestations-in-tuberous-sclerosis-complex-tsc-diagnostic-guidelines-tand-concept-and-therapy-with-mtor-inhibitors%C3%AF
#4
Robert Waltereit, Martha Feucht, Magdalena C de Vries, Julia Huemer, Veit Roessner, Petrus J de Vries
Neuropsychiatric manifestations in Tuberous Sclerosis Complex (TSC): diagnostic guidelines, TAND concept and therapy with mTOR inhibitors Abstract. Tuberous sclerosis complex (TSC), albeit a rare autosomal-dominant multisystem disease with an incidence of 1:6,000, is one of the most important monogenetic disorders in child and adolescent psychiatry. In up to 90 % of patients, neurological disorders such as epilepsy and psychiatric disorders such as autism spectrum disorder, ADHD, affective disorders, and intellectual disability are observed...
August 6, 2018: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
https://www.readbyqxmd.com/read/30058465/revisiting-the-canons-of-psychiatry-teaching-the-fundamentals-of-catie-star-d-and-step-bd-to-family-medicine-residents
#5
Kevin P Brazill, Stephen Warnick, Christopher White
Family medicine physicians are often the first providers to encounter and identify mental illness in their patients. Having a solid understanding of three landmark studies-Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE), Sequenced Treatment Alternatives to Relieve Depression (STAR*D), and Systemic Treatment Enhancement Program for Bipolar Disorder (STEP-BD)-can significantly improve a family medicine physician's approach to mental illness and treatment choices, ultimately improving patient outcomes...
July 30, 2018: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/30052961/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#6
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise and consumer preference? SUMMARY ANSWER: International evidence-based guidelines, including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
July 19, 2018: Human Reproduction
https://www.readbyqxmd.com/read/30047451/-preventing-violence-during-hospitalisations-in-psychiatry
#7
Charles Alezrah, Marielle Lafont, Roland Bouet, Anne Depaigne-Loth, Cédric Paindavoine, Michel Laurence, Marie-Hélène Rodde-Dunet, Jean-Louis Senon
Over recent years, the psychiatric sector has endeavoured to develop community-based care. Paradoxically, the number of compulsory hospitalisations is increasing. At the same time, the legal framework is evolving and measures relating to the deprivation of liberty in the context of psychiatric care have given rise to extensive guidelines. The work of the French National Health Authority represents, in this context, a certain continuity, with regard to the legal, ethical and social discussions around restriction of liberty practices within psychiatric units...
July 2018: Soins. Psychiatrie
https://www.readbyqxmd.com/read/30040595/validation-of-the-change-or-stop-testosterone-lowering-medication-costlow-scale-using-delphi-method-among-clinical-experts
#8
Peer Briken, Daniel Turner, Flaurence Thibaut, John Bradford, Paul Cosyns, Safiye Tozdan
Guidelines for pharmacological treatment of patients with paraphilic disorders have been developed by a working group of the World Federation of Societies of Biological Psychiatry (Thibaut et al. 2010 ). With an increasing duration of experience and number of treated patients as well as aging patients, change of or withdrawal from testosterone lowering medications (TLM) has become an important issue. The current study aimed to assess the quality of a structured professional judgement procedure that helps switching or discontinuing especially TLM in patients with paraphilic disorders...
July 24, 2018: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/30033227/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#9
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise, and consumer preference? SUMMARY ANSWER: International evidence-based guidelines including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
August 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/30024653/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#10
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise, and consumer preference? SUMMARY ANSWER: International evidence-based guidelines including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
July 19, 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/30020033/how-do-patients-with-schizophrenia-and-their-families-learn-about-the-diagnosis
#11
Doron Amsalem, Ilanit Hasson-Ohayon, Doron Gothelf, David Roe
OBJECTIVE: The purpose of the present study was to investigate how patients with schizophrenia and their relatives learn about the diagnosis and to study their feelings and degree of satisfaction with the process of delivering that information. METHOD: A total of 16 individuals who had been recently diagnosed with schizophrenia spectrum disorders and 15 of their relatives were interviewed. The interviews were recorded, transcribed verbatim, and analyzed using grounded theory...
July 18, 2018: Psychiatry
https://www.readbyqxmd.com/read/29992408/preprocessing-pupil-size-data-guidelines-and-code
#12
Mariska E Kret, Elio E Sjak-Shie
Pupillometry has been one of the most widely used response systems in psychophysiology. Changes in pupil size can reflect diverse cognitive and emotional states, ranging from arousal, interest and effort to social decisions, but they are also widely used in clinical practice to assess patients' brain functioning. As a result, research involving pupil size measurements has been reported in practically all psychology, psychiatry, and psychophysiological research journals, and now it has found its way into the primatology literature as well as into more practical applications, such as using pupil size as a measure of fatigue or a safety index during driving...
July 10, 2018: Behavior Research Methods
https://www.readbyqxmd.com/read/29962575/blue-whale-challenge-perceptions-of-first-responders-in-medical-profession
#13
Mahesh Mahadevaiah, Raghavendra B Nayak
Context: Blue Whale Challenge is a phenomenon which gained its early foothold on the internet chatboards. It is a dare-based harmful game which has a list of fifty tasks which you perform culminating in one's death on the final task. The fatalities caused by individuals playing this game have been reported first in Russia and followed by at least twenty countries reporting it, including India. Aims: This study was conducted to assess perceptions and knowhow of the first responders in medical profession about online challenges...
March 2018: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29961978/integrating-behavioral-health-in-the-pediatric-medical-home
#14
Joy A Lauerer, Kimbi G Marenakos, Kathy Gaffney, Christina Ketron, Kara Huncik
TOPIC: Behavioral health disorders (psychiatric illness and substance abuse disorders) represent a significant burden across the nation's health care system. The number of children and adolescents requiring behavioral health care has increased while at the same time the behavioral health workforce continues to experience a shortage of providers. The current model of care is failing to meet the behavioral health needs of children and adolescents. Initiatives are underway that call for improved integration of behavioral health services into primary care...
July 1, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29946212/facts-and-myths-pertaining-to-fibromyalgia
#15
Winfried Häuser, Mary-Ann Fitzcharles
Fibromyalgia (FM) is characterized by chronic widespread pain, unrefreshing sleep, physical exhaustion, and cognitive difficulties. It occurs in all populations throughout the world, with prevalence between 2% and 4% in general populations. Definition, pathogenesis, diagnosis, and treatment of FM remain points of contention, with some even contesting its existence. The various classification systems according to pain medicine, psychiatry, and neurology (pain disease; persistent somatoform pain disorder; masked depression; somatic symptom disorder; small fiber neuropathy; brain disease) mostly capture only some components of this complex and heterogeneous disorder...
March 2018: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/29944606/the-psychiatric-neuromodulation-unit-implementation-and-management
#16
Anne Sauvaget, Emmanuel Poulet, Antonio Mantovani, Samuel Bulteau, Philippe Damier, Baptiste Moutaud, Mariano Paternoster, Andrea de Bartolomeis, Giordano DʼUrso
The proven effectiveness of neuromodulation and stimulation techniques for the management of psychiatric disorders has brought strongly needed innovation in psychiatry, given the high prevalence and high costs of treatment resistance. Although evidence-based guidelines in neuromodulation have been implemented to improve the clinical efficacy, safety, and research procedures, practical suggestions on how to design a psychiatric neuromodulation unit (PNU) are not available in the scientific literature. In this contribution, we have combined the results of a literature search with the suggestions of clinical psychiatrists, managers, and bioethicists who have had firsthand experience in building a PNU...
June 25, 2018: Journal of ECT
https://www.readbyqxmd.com/read/29933948/epigenetic-programming-by-early-life-stress
#17
Reema Abdulrahman S Alyamani, Chris Murgatroyd
Studies show that adverse conditions during early life can increase risks of developing mood disorders later in life. It is currently hypothesized that levels of environmental adversity in this early developmental period are able to shape the experience-dependent maturation of stress-regulating pathways leading to long-lasting alterations in stress responsivity during adulthood; a phenomenon often referred to as "early-life programming." Research is addressing the molecular mechanisms underlying this programming by which gene-environment interactions can predispose individuals toward psychopathology...
2018: Progress in Molecular Biology and Translational Science
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
#18
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 used for dementia patients in primary care...
2018: Journal of Alzheimer's Disease: JAD
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
#19
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...
June 2018: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/29869547/175-years-of-progress-in-ptsd-therapeutics-learning-from-the-past
#20
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
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