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Psychiatric education

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https://www.readbyqxmd.com/read/28214349/the-educational-value-of-inpatient-psychiatric-training-in-undergraduate-medical-education
#1
Noah Capurso, Kirsten Wilkins
No abstract text is available yet for this article.
February 18, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28212496/antipsychotic-use-in-dementia
#2
Julia Kirkham, Chelsea Sherman, Clive Velkers, Colleen Maxwell, Sudeep Gill, Paula Rochon, Dallas Seitz
Antipsychotics are necessary for many older adults to treat major mental illnesses or reduce distressing psychiatric symptoms. Current controversy exists over the role of antipsychotics in the management of neuropsychiatric symptoms (NPS) in persons with dementia. Although some NPS may be appropriately and safely treated with antipsychotics, a fine balance must be achieved between the benefits of these medications, which are often modest, and adverse events, which may have significant consequences. Approximately one-third of all persons with dementia are currently prescribed antipsychotic medications, and there is significant variation in the use of antipsychotics across care settings and providers...
March 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28211557/associations-of-selected-lower-urinary-tract-symptoms-with-biographical-context-in-patients-of-a-day-hospital-for-neurotic-disorders
#3
Michał Skalski, Jerzy A Sobański, Tomasz Golabek, Agata Świerkosz, Katarzyna Klasa, Mikołaj Przydacz, Krzysztof Rutkowski, Edyta Dembińska, Michał Mielimąka, Katarzyna Cyranka, Piotr Chłosta, Dominika Dudek
OBJECTIVES: To assess the correlation of subjectively estimated biographical context and lower urinary tract symptoms reported by patients with neurotic and personality disorders. METHODS: This was a retrospective analysis of the biographical context of co-existence of urinary frequency and urinary incontinence reported by 3,929 patients in a day hospital for treatment of neurotic disorders. The symptom checklists KO "0" were completed by patients prior to any treatment...
December 23, 2016: Psychiatria Polska
https://www.readbyqxmd.com/read/28209533/hospital-admission-after-gastric-bypass-a-nationwide-cohort-study-with-up-to-6-years-follow-up
#4
Gustaf Bruze, Johan Ottosson, Martin Neovius, Ingmar Näslund, Richard Marsk
BACKGROUND: Several studies have addressed short-term admission rates after bariatric surgery. However, studies on long-term admission rates are few and population based studies are even scarcer. OBJECTIVE: The aim of this study was to assess short- and long-term admission rates for gastrointestinal surgery after gastric bypass in Sweden compared with admission rates in the general population. SETTING: Swedish healthcare system. METHODS: The surgery cohort consisted of adults with body mass index≥35 identified in the Scandinavian Obesity Surgery Registry (n = 28,331; mean age 41 years; 76% women; Roux-en-Y gastric bypass performed 2007-2012)...
January 5, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28199405/co-financing-for-viral-load-monitoring-during-the-course-of-antiretroviral-therapy-among-patients-with-hiv-aids-in-vietnam-a-contingent-valuation-survey
#5
Quyen Le Thi Nguyen, Long Hoang Nguyen, Bach Xuan Tran, Huong Thi Thu Phan, Huong Thi Le, Hinh Duc Nguyen, Tho Dinh Tran, Cuong Duy Do, Cuong Manh Nguyen, Vu Thi Minh Thuc, Carl Latkin, Melvyn W B Zhang, Roger C M Ho
BACKGROUND: Viral load testing is considered the gold standard for monitoring HIV treatment; however, given its high cost, some patients cannot afford viral load testing if this testing is not subsidized. Since foreign aid for HIV/AIDS in Vietnam is rapidly decreasing, we sought to assess willingness to pay (WTP) for viral load and CD4 cell count tests among HIV-positive patients, and identified factors that might inform future co-payment schemes. METHODS: A multi-site cross-sectional survey was conducted with 1133 HIV-positive patients on antiretroviral therapy (ART) in Hanoi and Nam Dinh...
2017: PloS One
https://www.readbyqxmd.com/read/28194683/reproductive-psychiatry-residency-training-a-survey-of-psychiatric-residency-program-directors
#6
Lauren M Osborne, Joanna V MacLean, Erin Murphy Barzilay, Samantha Meltzer-Brody, Laura Miller, Sarah Nagle Yang
OBJECTIVE: The reproductive life cycle has unique influences on the phenotypic expression of mental illness in women. Didactic and clinical training focused on these sex-specific influences should be a vital component of the education of future psychiatrists. The authors sought to determine the current state of and attitudes toward reproductive psychiatry in resident education. METHODS: The authors administered a web-based survey to psychiatry residency training directors...
February 13, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28194598/student-run-clinics-a-novel-approach-to-integrated-care-teaching-and-recruitment
#7
Liza I Mishan, Dianna Dragatsi
The purpose of this study is to assess the educational impact of incorporating a psychiatry consult service into a medical student-run clinic. In November 2014, a psychiatry consult service was introduced at the Columbia-Harlem Homeless Medical Partnership (CHHMP), a student-run clinic located in Harlem, New York. From September 2015 to January 2016, surveys (Qualtrics) were then distributed to student members of the clinic. Surveys assessed how the psychiatric consult service impacted students' knowledge, skills and attitudes about psychiatry...
February 13, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28191264/mindfulness-based-relapse-prevention-for-stimulant-dependent-adults-a-pilot-randomized-clinical-trial
#8
Suzette Glasner-Edwards, Larissa J Mooney, Alfonso Ang, Hélène Chokron Garneau, Emily Hartwell, Mary-Lynn Brecht, Richard A Rawson
In light of the known associations between stress, negative affect, and relapse, mindfulness strategies hold promise as a means of reducing relapse susceptibility. In a pilot randomized clinical trial, we evaluated the effects of Mindfulness Based Relapse Prevention (MBRP), relative to a health education control condition (HE) among stimulant dependent adults receiving contingency management. All participants received a 12-week contingency management (CM) intervention. Following a 4-week CM-only lead in phase, participants were randomly assigned to concurrently receive MBRP (n=31) or HE (n=32)...
February 2017: Mindfulness
https://www.readbyqxmd.com/read/28182470/supported-education-for-individuals-with-psychiatric-disabilities-state-of-the-practice-and-policy-implications
#9
Heather Ringeisen, Marsha Langer Ellison, Amy Ryder-Burge, Kathleen Biebel, Shums Alikhan, Emily Jones
OBJECTIVE: Supported education (SEd) is a promising practice that supports and encourages educational goals and attainment among individuals with psychiatric disabilities. This paper provides insights into how SEd objectives are pursued in different settings, assesses the evidence base, and discusses policy implications. METHOD: Insights from 3 data sources were synthesized: published literature, an environmental scan, and 3 site visits to programs that support the education goals of individuals with psychiatric disabilities...
February 9, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28180930/life-course-persistent-and-adolescence-limited-conduct-disorder-in-a-nationally-representative-us-sample-prevalence-predictors-and-outcomes
#10
Ashlee A Moore, Judy L Silberg, Roxann Roberson-Nay, Briana Mezuk
PURPOSE: The course of conduct disorder (CD) is heterogeneous. Moffitt proposed the heuristic of life course persistent (LCP) and adolescence limited (AL) to differentiate etiologically distinct forms of antisocial behavior (AB), each with distinct predictors and consequences, although a few studies have assessed this demarcation within the context of CD. The objective of this study was to apply Moffitt's taxonomy in a nationally representative US sample to investigate the prevalence, predictors, and outcomes of LCP and AL CD...
February 8, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28178950/risk-factors-of-the-stigma-towards-psychiatric-patients-among-primary-healthcare-workers-in-china-a-county-study
#11
Yang Wang, Xiaohua Wang, Weijun Zhang, Xiaoyun Liang, Donghua Tian, Zhiyong Qu
BACKGROUND: Attitude towards psychiatric patients among healthcare workers has an impact on quality of medical care and rehabilitation of patients. In China, primary healthcare workers play an important role in mental health care, but little is known about the attitude of them towards psychiatric patients. This study aims to examine the risk factors associated with stigma among primary healthcare workers in West China. METHODS: This cross-sectional study randomly recruited 395 primary healthcare workers in Mianzhu County, China...
February 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28176416/association-between-demographic-organizational-clinical-and-socio-economic-characteristics-and-underutilization-of-cardiac-resynchronization-therapy-results-from-the-swedish-heart-failure-registry
#12
Lars H Lund, Frieder Braunschweig, Lina Benson, Marcus Ståhlberg, Ulf Dahlström, Cecilia Linde
AIMS: Cardiac resynchronization therapy (CRT) improves outcomes in heart failure (HF) but may be underutilized. The reasons are unknown. METHODS AND RESULTS: We linked the Swedish Heart Failure Registry to national registries with ICD-10 (International Classification of Diseases-10th Revision) co-morbidity diagnoses and demographic and socio-economic data. In patients with EF ≤39% and NYHA II-IV, we assessed prevalence of CRT indication and CRT use. In those with CRT indication, we assessed the association between 37 potential baseline covariates and CRT non-use using multivariable generalized estimating equation (GEE) models...
February 7, 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/28173823/effectiveness-of-a-clinical-practice-change-intervention-in-increasing-the-provision-of-nicotine-dependence-treatment-in-inpatient-psychiatric-facilities-an-implementation-trial
#13
Paula M Wye, Emily A Stockings, Jenny A Bowman, Chris Oldmeadow, John H Wiggers
BACKGROUND: Despite clinical practice guidelines recommending the routine provision of nicotine dependence treatment to smokers in inpatient psychiatric facilities, the prevalence of such treatment provision is low. The aim of this study was to examine the effectiveness of a clinical practice change intervention in increasing clinician recorded provision of nicotine dependence treatment to patients in inpatient psychiatric facilities. METHODS: We undertook an interrupted time series analysis of nicotine dependence treatment provision before, during and after a clinical practice change intervention to increase clinician recorded provision of nicotine dependence treatment for all hospital discharges (aged >18 years, N = 4175) over a 19 month period in two inpatient adult psychiatric facilities in New South Wales, Australia...
February 7, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28171735/a-theoretical-and-clinical-perspective-on-social-relatedness-and-the-patient-with-serious-mental-illness
#14
Karen Goyette Pounds
BACKGROUND: A therapeutic relationship forms the basis of care of patients in psychiatric mental health nursing. However, individuals with schizophrenia have difficulty participating in these relationships. Recent research in the area of social cognitive psychology offers that deficits in this area affect the flow of perceiving and relating in interpersonal relationships. This literature has not been applied to nursing. OBJECTIVE: The objective of this article is to review the theories underpinning therapeutic relationships from a nursing and psychological perspective, including the newest research from social cognitive psychology...
February 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28169898/development-and-pilot-implementation-of-a-search-protocol-to-improve-patient-safety-on-a-psychiatric-inpatient-unit
#15
Frances Abela-Dimech, Kim Johnston, Gillian Strudwick
PURPOSE/OBJECTIVE: A mental health organization in Ontario, Canada, noted an increase in unsafe items entering locked inpatient units. The purpose of this project was to develop and implement a search protocol to improve patient, staff, and visitor safety by preventing unsafe items from entering a locked inpatient unit. DESCRIPTION OF THE PROJECT: Under the guidance of a clinical nurse specialist, an interprofessional team used the Failure Mode and Effects Analysis framework to identify what items were considered unsafe, how these unsafe items were entering the unit, and what strategies could be used to prevent these items from entering the unit...
March 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28167433/prevalence-of-borderline-personality-disorder-and-its-risk-factors-in-female-prison-inmates-in-china
#16
Xiao-Min Zhu, Jian-Song Zhou, Chen Chen, Wang-Lian Peng, Wen Li, Gabor S Ungvari, Chee H Ng, Xiao-Ping Wang, Yu-Tao Xiang
High prevalence of borderline personality disorder (BPD) has been found in Western prisons but no such data exists in China. The objective of this study was to determine the lifetime prevalence of BPD in Chinese female prison inmates and its associated risk factors. This cross-sectional study was conducted in Hunan Provincial Female Prison. Data on consenting inmates' socio-demographic and clinical characteristics were collected and the diagnosis of lifetime BPD was established using the Structural Clinical Interview for DSM-IV...
January 23, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28161766/staff-and-patient-experiences-of-decision-making-about-continuous-observation-in-psychiatric-hospitals
#17
Kirsten Barnicot, Bryony Insua-Summerhayes, Emily Plummer, Alice Hart, Chris Barker, Stefan Priebe
PURPOSE: Continuous observation of psychiatric inpatients aims to protect those who pose an acute risk of harm to self or others, but involves intrusive privacy restrictions. Initiating, conducting and ending continuous observation requires complex decision-making about keeping patients safe whilst protecting their privacy. There is little published guidance about how to balance privacy and safety concerns, and how staff and patients negotiate this in practice is unknown. To inform best practice, the present study, therefore, aimed to understand how staff and patients experience negotiating the balance between privacy and safety during decision-making about continuous observation...
February 4, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28153705/supporting-patients-with-mental-illness-deconstructing-barriers-to-community-pharmacist-access
#18
Samantha Calogero, Charles F Caley
OBJECTIVES: To discuss the barriers faced by individuals with mental health conditions attempting to access their community pharmacists and to propose solutions toward deconstructing those barriers. SUMMARY: Given the prevalence of mental illness and the frequency at which psychotropic medications are dispensed, community pharmacists have a daily opportunity to engage patients with mental illness and be active participants in community-based mental health care. Yet multiple barriers affect patient access to community pharmacists...
January 30, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28153646/-differences-in-access-to-internet-and-internet-based-information-seeking-according-to-the-type-of-psychiatric-disorder
#19
P Brunault, A Bray, C Rerolle, S Cognet, P Gaillard, W El-Hage
BACKGROUND: Internet has become a major tool for patients to search for health-related information and to communicate on health. We currently lack data on how patients with psychiatric disorders access and use Internet to search for information on their mental health. This study aimed to assess, in patients followed for a psychiatric disorder (schizophrenia, bipolar disorder, mood and anxiety disorder, substance-related and addictive disorders and eating disorders), prevalence of Internet access and use, and patient expectations and needs regarding the use of Internet to search for mental-health information depending on the psychiatric disorder...
January 30, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28152433/the-epa-guidance-on-suicide-treatment-and-prevention-needs-to-be-adjusted-to-fight-the-epidemics-of-suicide-at-the-north-pole-area-and-other-autochthonous-communities
#20
P Charlier, J Malaurie, D Wasserman, V Carli, M Sarchiapone, C Dagenais-Everell, C Herve
More and more, youth suicide in the Inuit community is gaining importance, with a frequency in Greenland rising from 14.4 (1960-64) to 110.4 per 100,000 person-years (2010-11). The huge cultural/educational changes during the last 20 years and the role of globalization, especially of the occidental influence on this community may be at the origin of such an "epidemics" of suicide in this cultural region. Recently, a political organization representing the Inuit community in Canada (ITK for Inuit Tapiriit Kanatami) launched a National Inuit Suicide Prevention Strategy (NISP) based on the specificities of this community in comparison to the occidental civilization...
January 30, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
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