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https://www.readbyqxmd.com/read/29783857/psychiatry-s-ethical-involvement-in-gender-affirming-care
#1
Roberto D'Angelo
OBJECTIVE: To reflect on the role of psychiatry in authorising physical treatments for Gender Dysphoria and to examine the quality of evidence for gender-reassignment. METHOD: A Medline search was performed with the subject term "transsexualism" or "gender dysphoria" and "outcome" or "follow-up" in the title. Studies published from 2005 onwards reporting psychosocial outcomes were selected for review. RESULTS: Most available evidence indicating positive outcomes for gender reassignment is of poor quality...
May 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29781408/gilles-de-la-tourette-syndrome-as-a-paradigmatic-neuropsychiatric-disorder
#2
Andrea E Cavanna
Gilles de la Tourette syndrome is a chronic and complex tic disorder accompanied by specific behavioral problems in the majority of patients. With its multifaceted interplay between motion and emotion, this condition is a paradigmatic example of the science and art of clinical neuropsychiatry. This review article encompasses the clinical phenomenology of motor and vocal tics and associated sensory experiences (premonitory urges), as well as the behavioral spectrum of the most common comorbidities, including obsessive-compulsive disorder, attention-deficit and hyperactivity disorder, affective symptoms, and impulsivity...
May 21, 2018: CNS Spectrums
https://www.readbyqxmd.com/read/29776679/the-probability-that-catatonia-in-the-hospital-has-a-medical-cause-and-the-relative-proportions-of-its-causes-a-systematic-review
#3
REVIEW
Mark A Oldham
OBJECTIVE: The objective of this review is to determine the probability that catatonia in the hospital has a secondary cause ("medical catatonia") and to calculate the relative proportions of these causes stratified by hospital setting. METHODS: PRISMA systematic review of PubMed. RESULTS: Eleven studies were included. Hospital-wide, 20% of catatonia was medical. In acute medical and surgical settings, medical catatonia comprised more than half of cases...
April 9, 2018: Psychosomatics
https://www.readbyqxmd.com/read/29771102/-reclusion-and-physical-restraint-in-psychiatry-influencing-factors-and-alternatives
#4
Jérôme Morisset
Introduction and context: The use of reclusion and restraint is neither a recent practice nor a rare practice in psychiatric services. In France, the Controller General of Places of Deprivation of Liberty reported certain drifts in 2015. Since then, the public authorities have sought to frame this practice with the aim of limiting its use. OBJECTIVE AND METHOD: The purpose of this study is to examine how, through a literature review, the topic of limitation of constraint measures and the definition of a future direction of research is discussed...
March 2018: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/29766481/-is-psychiatry-ready-to-let-patients-review-their-own-files-inventory-of-initial-experiences
#5
S M P van Veen, M Mostert, L de Witte, M Somers
BACKGROUND: Dutch patients will be granted the right to digitally access their own medical records, an option already available to the patients at the University Medical Center Utrecht since 2015. AIM: To start a conversation about the development of readily accessible online patient records. METHODS Describe the experiences of a University department of psychiatry with an online patient portal, obtained through discussions and questionnaires. RESULTS: During the next few years three legal developments will enable patients to acquire direct, remote, digital access to their medical files...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29766479/-n-of-1-trials-in-child-and-adolescent-psychiatry-a-closer-look-at-stimulants
#6
E Mordijck, M Danckaerts, P Onghena
BACKGROUND: An N-of-1 trial is a clinical trial studying the response of an individual to a particular intervention or different interventions in an objective, systematic way. AIM: To evaluate both the applications and the methodology of N-of-1 trials in child and adolescent psychiatry. METHOD: A systematic review using PubMed and Embase assessing N-of-1 trials published during the period 1986 - July 2016 with the following key-word: 'N-of-1'...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29764795/mapping-of-crowdsourcing-in-health-systematic-review
#7
REVIEW
Perrine Créquit, Ghizlène Mansouri, Mehdi Benchoufi, Alexandre Vivot, Philippe Ravaud
BACKGROUND: Crowdsourcing involves obtaining ideas, needed services, or content by soliciting Web-based contributions from a crowd. The 4 types of crowdsourced tasks (problem solving, data processing, surveillance or monitoring, and surveying) can be applied in the 3 categories of health (promotion, research, and care). OBJECTIVE: This study aimed to map the different applications of crowdsourcing in health to assess the fields of health that are using crowdsourcing and the crowdsourced tasks used...
May 15, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29756278/sleep-related-motor-and-behavioral-disorders-recent-advances-and-new-entities
#8
REVIEW
David P Breen, Birgit Högl, Alfonso Fasano, Claudia Trenkwalder, Anthony E Lang
Patients with sleep-related motor and behavioral disorders present to a variety of subspecialty clinics (neurology, sleep medicine, respiratory medicine, psychiatry). Diagnosing these disorders can be difficult, and sometimes they have a significant impact on quality of life. Alongside a number of common and well-recognized conditions, several new disease entities have been described in recent years that present with abnormal nocturnal motor phenomena (such as ADCY5-associated disease and anti-IgLON5 disease)...
May 14, 2018: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/29754706/ethics-committees-and-mental-health
#9
Carlos Enrique Yepes Delgado, Andrea Ocampo Montoya
Although research processes are covered by the objectivity of science, they are still influenced by the interests of those who conduct them. This is why high level committees have been tasked with defining the scope of the studies and performing a thorough assessment of them, since these imply great dilemmas. This premise leads to the emergence of Ethics Committees, where liaison psychiatry has an important place due to its communication abilities and knowledge of the human behavior. This paper attempts to provide some observations to take into account when discussing the link between ethics and mental health...
April 2018: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29750064/review-of-mini-clinical-evaluation-exercise-mini-cex-in-a-psychiatry-clerkship
#10
Edwin Meresh, David Daniels, Aparna Sharma, Murali Rao, Kaushal Mehta, David Schilling
Background: Direct observation of medical students with actual patients is important for the assessment of clinical skills including interviewing and counseling skills. This article describes medical students' experience of mini-clinical evaluation exercise (mini-CEX) during their clerkship in consultation psychiatry. Materials and methods: In our center during inpatient consultation psychiatry clerkship, all rotating students are expected to complete one mini-CEX assessment as part of their clinical training...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29749310/biological-and-psychological-influences-of-cross-sex-hormone-in-transgender
#11
Ling Shiao Ling, Hatta Sidi, Raja Adam Raja Lope, Srijit Das, Azlin Baharudin
Transgender is a complex state of bio-psycho-social dimension of human sexuality. It encompasses cognitive-emotional-behavior component that makes the person unique in his or her sexual expression. Transgender tend to use cross sex hormone in order to eradicate their secondary sexual characteristics and to facilitate the shift to their experienced gender. The common masculinising sex hormone use, i.e. Female to Male Treatment Options (FMTO) is testosterone and for feminising hormone i.e. Male to Female Treatment Options (MFTO) is a combination of estrogen with anti-androgen, respectively...
May 11, 2018: Current Drug Targets
https://www.readbyqxmd.com/read/29744988/behavioral-health-care-in-solid-organ-transplantation-in-a-pediatric-setting
#12
Katharine Thomson, Kristine McKenna, Katherine Bedard-Thomas, Melisa Oliva, Patricia Ibeziako
This study examined the demographic, medical, and psychiatric characteristics of transplant patients across organ groups seen by transplant psychology/psychiatry clinicians at a pediatric institution between 2008 and 2014. Chart reviews were conducted to better understand the behavioral health care provided to SOT patients and the role of transplant-dedicated psychology and psychiatry clinicians. Transplant psychology/psychiatry was consulted a total of 1060 times on 399 unique SOT patients over a 6-year period...
May 10, 2018: Pediatric Transplantation
https://www.readbyqxmd.com/read/29741616/a-systematic-review-of-genome-wide-research-on-psychotic-experiences-and-negative-symptom-traits-new-revelations-and-implications-for-psychiatry
#13
Angelica Ronald, Oliver Pain
We present a systematic review of genome-wide research on psychotic experience and negative symptom traits (PENS) in the community. We integrate these new findings, most of which have emerged over the last four years, with more established behaviour genetic and epidemiological research. The review includes the first genome-wide association studies of PENS, including a recent meta-analysis, and the first SNP heritability estimates. Sample sizes of < 10,000 participants mean that no genome-wide significant variants have yet been replicated...
May 8, 2018: Human Molecular Genetics
https://www.readbyqxmd.com/read/29739414/psychiatric-consultation-requests-by-inpatient-medical-teams-an-observational-study
#14
Carla Pezzia, Jacqueline A Pugh, Holly J Lanham, Luci K Leykum
BACKGROUND: We describe the way psychiatric issues are addressed by inpatient medical teams through analysis of discussions of patients with behavioral health concerns and examination of teams' subsequent consultation practices. METHODS: We observed morning rounds for nine inpatient medical teams for approximately month-long periods, for a total of 1941 observations. We compared discussions of patients admitted for behavioral health related medical conditions between those who did and did not receive a psychiatric consultation, developing categories to describe factors influencing consultation or other management...
May 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29738717/the-habenula-in-neurosurgery-for-depression-a-convergence-of-functional-neuroanatomy-psychiatry-and-imaging
#15
REVIEW
Georgios P Skandalakis, Christos Koutsarnakis, Aristotelis V Kalyvas, Panagiotis Skandalakis, Elizabeth O Johnson, George Stranjalis
BACKGROUND: The habenula is a small, mostly underrated structure in the pineal region. Multidisciplinary findings demonstrate an underlying complex connectivity of the habenula with the rest of the brain, subserving its major role in normal behavior and the pathophysiology of depression. These findings suggest the potential application of "habenular psychosurgery" in the treatment of mental disorders. OBJECTIVE/HYPOTHESIS: The remission of two patients with treatment-resistant major depression treated with deep brain stimulation of the habenula supported the hypothesis that the habenula is an effective target for deep brain stimulation and initiated a surge of basic science research...
May 5, 2018: Brain Research
https://www.readbyqxmd.com/read/29735241/use-of-a-gabapentin-protocol-for-the-management-of-alcohol-withdrawal-a-preliminary-experience-expanding-from-the-consultation-liaison-psychiatry-service
#16
Jonathan G Leung, Daniela B Rakocevic, Nicholas D Allen, Elliot M Handler, Bruno A Perossa, Kristin L Borreggine, Amy L Stark, Hannah K Betcher, Daniel K Hosker, Blaine A Minton, Benjamin R Braus, Ross A Dierkhising, Kemuel L Philbrick
BACKGROUND: Benzodiazepines are the conventional mainstay to manage alcohol withdrawal; however, patients are subsequently at increased risk for poor sleep, cravings, and return to drinking. Research on alternative pharmacologic agents to facilitate safe alcohol withdrawal is scant. Gabapentin is one medication shown in small studies to reduce the need for benzodiazepines in the setting of alcohol withdrawal. The continuation of gabapentin after alcohol withdrawal appears to be safe during early sobriety and may aid in reducing alcohol-related cravings or returning to alcohol consumption...
March 21, 2018: Psychosomatics
https://www.readbyqxmd.com/read/29734227/fear-processing-psychophysiology-and-ptsd
#17
Seth Davin Norrholm, Tanja Jovanovic
The processing and regulation of fear is one of the key components of posttraumatic stress disorder (PTSD). Fear can involve both acute and potential threats that can manifest in different behaviors and result from activity within different neural nodes and networks. Fear circuits have been studied extensively in animal models for several decades and in human neuroimaging research for almost 20 years. Therefore, the centrality of fear processing to PTSD lends the disorder to be more tractable to investigation at the level of brain and behavior, and provides several observable phenotypes that can be linked to PTSD symptoms...
May 2018: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/29730941/emotional-reactivity-to-daily-events-in-youth-with-anxiety-disorders
#18
Joanna Herres, Nicole E Caporino, Colleen M Cummings, Philip C Kendall
BACKGROUND: Although research supports associations between anxiety and emotional reactivity in adults (Cisler, J. M., Olatunji, B. O., Feldner, M. T., & Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: an integrative review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68-82.), few studies have examined emotional reactivity in anxious youth (e.g., Carthy et al., 2010; Tan, P. Z., Forbes, E. E., Dahl, R. E., Ryan, N. D., Siegle, G. J...
May 7, 2018: Anxiety, Stress, and Coping
https://www.readbyqxmd.com/read/29729890/understanding-the-emergence-of-neuropsychiatric-disorders-with-network-neuroscience
#19
REVIEW
Danielle S Bassett, Cedric Huchuan Xia, Theodore D Satterthwaite
Major neuropsychiatric disorders such as psychosis are increasingly acknowledged to be disorders of brain connectivity. Yet tools to map, model, predict, and change connectivity are difficult to develop, largely because of the complex, dynamic, and multivariate nature of interactions between brain regions. Network neuroscience (NN) provides a theoretical framework and mathematical toolset to address these difficulties. Building on areas of mathematics such as graph theory, NN in its simplest form summarizes neuroimaging data by treating brain regions as nodes in a graph and by treating interactions or connections between nodes as edges in the graph...
April 5, 2018: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/29726431/telemedicine-in-diagnosis-treatment-and-management-of-diseases-in-children
#20
Abbas Sheikhtaheri, Farzaneh Kermani
The purpose of this study was to review different telemedicine services in diagnosis, treatment and management of various children diseases and providing an overview of systematic reviews conducted in this regard. We searched English articles published in peer-reviewed journals between 2000 to 2016. We found that tele-pediatric services have been reported in various areas such as cardiology, burn, diabetes, obesity, emergency medicine, speech and hearing loss, Ear, Nose and Throat, psychology and psychiatry, radiology, oncology, home healthcare, asthma, genetics and dentistry...
2018: Studies in Health Technology and Informatics
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