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Emergency psychiatry

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https://www.readbyqxmd.com/read/29451111/-in-and-out-of-hospital-emergency-psychiatry-what-is-the-best-approach
#1
J J Luykx, J K Tijdink, W Tempelaar, C H Vinkers, L de Witte
A range of clinical syndromes may present with psychiatric symptoms, both in and out of hospital settings. In such situations agitation, suicidality, communication difficulties and legal aspects often play a role, making diagnosis and treatment a challenge. Based on several case studies, we illustrate how the recently-published Dutch open access source 'Acute Psychiatry' (www.acutepsychiatrie.com) can be of help in acute psychiatric presentations both within and outside psychiatric hospitals.
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29438853/gastric-ulceration-and-perforation-secondary-to-large-trichobezoar-a-case-report-describing-the-role-of-magnetic-resonance-imaging-in-diagnosis
#2
M M Hennessy, I Ivanovski, C B Ó Súilleabháin
INTRODUCTION: Trichotillomania and trichotillophagia can result in huge intraluminal coagulations of hair. Rarely, these can present with gastric perforation. This work has been reported in line with the SCARE criteria (Agha et al., 2016) [1]. PRESENTATION OF CASE: We report the case of a 15 year old girl who attended the emergency department with abdominal pain and vomiting. Ultrasound abdomen and pelvis identified free fluid within the pelvis concerning for inflammatory bowel disease...
February 10, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29431144/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis
#3
Suze G Berkhout
First-episode psychosis has garnered significant attention and resources within mental health services in North America, Europe and Australia/New Zealand since the 1990s. Despite this widespread embrace, little scholarship exists that examines underlying concepts, ideologies and imagery embedded within the early intervention paradigm. In this paper, I offer a sociohistorical analysis of the emergence of first-episode psychosis and early intervention as entities in psychiatry, drawing on contemporary philosophical thought to explore various concepts embedded in them...
February 3, 2018: Medical Humanities
https://www.readbyqxmd.com/read/29427050/transcranial-magnetic-stimulation-tms-in-the-elderly
#4
REVIEW
Ilva G Iriarte, Mark S George
PURPOSE OF REVIEW: This article aims to review select applications of Transcranial Magnetic Stimulation (TMS) that have significant relevance in geriatric psychiatry. RECENT FINDINGS: Small study sizes and parameter variability limit the generalizability of many TMS studies in geriatric patients. Additionally, geriatric patients have unique characteristics that can moderate the efficacy of TMS. Nonetheless, several promising experimental applications in addition to the FDA-approved indication for major depression have emerged...
February 10, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29423550/resilience-concepts-in-psychiatry-demonstrated-with-bipolar-disorder
#5
REVIEW
David G Angeler, Craig R Allen, Maj-Liz Persson
BACKGROUND: The term resilience describes stress-response patterns of subjects across scientific disciplines. In ecology, advances have been made to clearly distinguish resilience definitions based on underlying mechanistic assumptions. Engineering resilience (rebound) is used for describing the ability of subjects to recover from adverse conditions (disturbances), and is the rate of recovery. In contrast, the ecological resilience definition considers a systemic change: when complex systems (including humans) respond to disturbances by reorganizing into a new regime (stable state) where structural and functional aspects have fundamentally changed relative to the prior regime...
February 9, 2018: International Journal of Bipolar Disorders
https://www.readbyqxmd.com/read/29417236/working-across-species-down-on-the-farm-howard-s-liddell-and-the-development-of-comparative-psychopathology-c-1923-1962
#6
Robert G W Kirk, Edmund Ramsden
Seeking a scientific basis for understanding and treating mental illness, and inspired by the work of Ivan Pavlov, American physiologists, psychiatrists and psychologists in the 1920s turned to nonhuman animals. This paper examines how new constructs such as "experimental neurosis" emerged as tools to enable psychiatric comparison across species. From 1923 to 1962, the Cornell "Behavior Farm" was a leading interdisciplinary research center pioneering novel techniques to experimentally study nonhuman psychopathology...
February 7, 2018: History and Philosophy of the Life Sciences
https://www.readbyqxmd.com/read/29394423/assessing-correlation-of-residency-applicants-interview-dates-with-likelihood-of-matching
#7
Sameer Avasarala, Elizabeth Thompson, Sarah Whitehouse, Sean Drake
OBJECTIVES: This study aimed to determine whether the timing of an interview relative to the recruitment season was associated with being ranked or matched at an academic medical center. METHODS: Eleven specialties (anesthesiology, diagnostic radiology, emergency medicine, family medicine, general surgery, internal medicine, neurology, neurosurgery, obstetrics-gynecology, orthopedic surgery, and psychiatry) that participated in the National Resident Matching Program were included in the study...
February 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29392601/school-refusal-behavior-in-indian-children-analysis-of-clinical-profile-psychopathology-and-development-of-a-best-fit-risk-assessment-model
#8
Ajita Nayak, Bijal Sangoi, Hrishikesh Nachane
OBJECTIVES: School refusal is seen as an emergency in child psychiatry and various risk factors have been analyzed. Children who present with school refusal have been shown to have several associated psychiatric comorbidities. However, risk assessment of psychiatric comorbidities is lacking, particularly in the Indian context. The authors aimed to study the sociodemographic profile and associated psychopathology in children with school refusal. They compared the prevalence rates of psychiatric illnesses to that of the community...
February 1, 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/29385959/reducing-frequent-utilization-of-psychiatric-emergency-services-among-veterans-while-maintaining-quality-of-care
#9
Daniel M Blonigen, Luisa Manfredi, Adrienne Heinz, Xiaoyu Bi, Paola Suarez, Andrea L Nevedal, Anita A Vashi, Christine Timko, Todd Wagner
OBJECTIVE: Use of psychiatric emergency services in emergency departments (EDs) and inpatient psychiatry units contributes substantially to the cost of mental health care. Among patients who utilize psychiatric emergency services, a small percentage ("high utilizers") contributes a disproportionate share of the total cost, yet little is known about the context of care for these patients. This study employed qualitative methods to identify barriers to and facilitators of reducing use of psychiatric emergency services among high utilizers...
February 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29380713/a-pharmacopsychometric-overview-of-major-depressive-episodes-in-positive-psychiatry
#10
P Bech
BACKGROUND: The use of the pharmacopsychometric triangle to enhance patient-reported well-being as the ultimate goal of treatment has most intensively been studied in patients with a major depressive episode. METHODS: The review is structured on the pharmacopsychometric triangle in which the desired clinical effect of an antidepressive medication is balanced against the undesired side effects induced by this medication in terms of restored well-being. As a biological treatment, the antidepressive medication is compared clinically with both electroconvulsive therapy and psychological treatment...
January 30, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29369526/generative-models-for-clinical-applications-in-computational-psychiatry
#11
REVIEW
Stefan Frässle, Yu Yao, Dario Schöbi, Eduardo A Aponte, Jakob Heinzle, Klaas E Stephan
Despite the success of modern neuroimaging techniques in furthering our understanding of cognitive and pathophysiological processes, translation of these advances into clinically relevant tools has been virtually absent until now. Neuromodeling represents a powerful framework for overcoming this translational deadlock, and the development of computational models to solve clinical problems has become a major scientific goal over the last decade, as reflected by the emergence of clinically oriented neuromodeling fields like Computational Psychiatry, Computational Neurology, and Computational Psychosomatics...
January 25, 2018: Wiley Interdisciplinary Reviews. Cognitive Science
https://www.readbyqxmd.com/read/29364370/munchausen-syndrome-and-munchausen-syndrome-by-proxy-a-narrative-review
#12
Daniel de Sousa Filho, Elton Yoji Kanomata, Ricardo Jonathan Feldman, Alfredo Maluf Neto
The Munchausen syndrome and Munchausen syndrome by proxy are factitious disorders characterized by fabrication or induction of signs or symptoms of a disease, as well as alteration of laboratory tests. People with this syndrome pretend that they are sick and tend to seek treatment, without secondary gains, at different care facilities. Both syndromes are well-recognized conditions described in the literature since 1951. They are frequently observed by health teams in clinics, hospital wards and emergency rooms...
October 2017: Einstein
https://www.readbyqxmd.com/read/29363463/the-psychoexposome-a-holistic-perspective-beyond-health-and-disease
#13
María-Teresa Colomina, Fernando Sánchez-Santed, Nélida M Conejo, Paloma Collado, Alicia Salvador, Milagros Gallo, Helena Pinos, Cosme Salas, José F Navarro, Ana Adán, Arantza Azpiroz, Jorge L Arias
BACKGROUND: The concept of the exposome has emerged as a new strategy for studying all environmental exposures throughout an individual’s life and their impact on human health. Nowadays, electronic devices are available to collect data about an individual’s geolocation, biological function, or exposure biomarkers. The appearance of “omic” sciences and advances in bioinformatics have allowed massive data-gathering and analysis from various scientific fields. OBJECTIVE: to propose the term Psychoexposome in line with the concept of the exposome from the field of environmental sciences...
February 2018: Psicothema
https://www.readbyqxmd.com/read/29340519/evaluating-the-current-state-of-the-art-of-huntington-disease-research-a-scientometric-analysis
#14
L A Barboza, N C Ghisi
Huntington disease (HD) is an incurable neurodegenerative disorder caused by a dominant mutation on the 4th chromosome. We aim to present a scientometric analysis of the extant scientific undertakings devoted to better understanding HD. Therefore, a quantitative study was performed to examine the current state-of-the-art approaches that foster researchers' understandings of the current knowledge, research trends, and research gaps regarding this disorder. We performed literature searches of articles that were published up to September 2016 in the "ISI Web of Science™" (http://apps...
January 11, 2018: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/29334667/lithium-a-classic-drug-in-psychiatry-improves-nilotinib-mediated-antileukemic-effects
#15
Janaína Peixoto-da-Silva, Andrana K Calgarotto, Katiucha R Rocha, Caroline Palmeira-Dos-Santos, Soraya S Smaili, Gustavo J S Pereira, Fernando V Pericole, Adriana da Silva S Duarte, Sara T O Saad, Claudia Bincoletto
Although Tyrosine kinase inhibitors (TKIs) that target Bcr-Abl play a key role in Chronic Myeloid Leukemia (CML) therapy, they do not eradicate CML-initiating cells, which lead to the emergence of drug resistance. Here we used the lithium, a GSK-3 inhibitor, to attempt to potentiate the effects of nilotinib against leukemia cells. For this purpose, a K562 leukemia cell line and bone marrow cells from untreated Chronic Myeloid Leukemia (CML) patients, prior to any exposure to TKIs, were used as a model. Our results demonstrated that the combination of lithium + nilotinib (L + N) induced K562-cell death and cleaved caspase-3 when compared to lithium or nilotinib alone, accompanied by GSK-3β phosphorylation and Bcr-Abl oncoprotein levels reduction...
January 12, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/29326819/association-between-bullying-and-pediatric-psychiatric-hospitalizations
#16
Hadassa Leader, Jasmine Singh, Ayesha Ghaffar, Cheryl de Silva
Objectives: Bullying is a serious public health issue. We sought to demonstrate an association between bullying victimization and hospital admissions for acute psychiatric problems. We described the demographics and types of bullying in a sample of hospitalized patients in Staten Island, NY, and compared bullying victimization scores with psychiatric versus medical admissions. Methods: Patients in grades 3-12 were recruited from the Staten Island University Hospital Inpatient Pediatrics unit and emergency department...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29315053/book-reviews-emergency-dermatology-2nd-edn-edited-by-ronni-wolf-lawrence-c-parish-jennifer-l-parish-crc-press-2017-price-%C3%A2-99-00-pp-358-isbn-9781498729314-viral-infections-in-children-volume-1-edited-by-robin-j-green-springer-2017-price-%C3%A2-115-50-pp-220-isbn
#17
https://www.readbyqxmd.com/read/29303946/use-of-rapid-response-teams-in-psychiatry-variables-that-impact-safety
#18
Ryan Greytak, Joanna Y Wang, Yea-Jen Hsu, Jill Marsteller, Geetha Jayaram
OBJECTIVE: The addition of rapid response teams (RRTs) has emerged as a treatment option for medically deteriorating psychiatric inpatients. The goal of this study was to identify risk factors for use of RRTs at the time of initial psychiatric evaluation and develop measures to predict use of this emergent medical intervention. We have not located any studies that have previously addressed this issue. METHODS: We studied the use of RRTs and code teams (CTs) on inpatient general and specialty psychiatric services in a large urban academic psychiatric hospital...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303801/intravenous-valproic-acid-add-on-therapy-in-acute-agitation-adolescents-with-suspected-substance-abuse-a-report-of-six-cases
#19
Claudia Battaglia, Roberto Averna, Milena Labonia, Assia Riccioni, Stefano Vicari
The aim of this study was to test efficacy and safety of intravenous (IV) valproate for aggression in children and adolescents with mood or conduct disorder and concomitant substance abuse. Six patients received a 20 mg/kg dose of IV valproic acid as an add-on therapy to their standard therapy with second-generation antipsychotics and benzodiazepines. Agitation and general psychopathology were measured at baseline and after the first injection using the Modified Overt Aggression Scale, the Brief Psychiatric Rating Scale, and the Children's Global Assessment Scale...
January 2018: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/29299832/the-2016-survey-of-the-association-of-directors-of-medical-student-education-in-psychiatry
#20
Lia A Thomas, Gary Beck Dallaghan, Richard M Balon
OBJECTIVE: The members of the Association of Directors of Medical Student Education in Psychiatry (ADMSEP) had been last surveyed in 2010 to identify trends in medical student education in psychiatry, teaching methods, academic productivity, and administrative issues. With increasing requirements, ADMSEP members were surveyed in 2016 to characterize current expectations for and needs of medical student educators in psychiatry. METHODS: A 53-item survey was sent to members of ADMSEP (n=260) and to clerkship directors nationwide...
January 3, 2018: Academic Psychiatry
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