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https://www.readbyqxmd.com/read/28715621/electroconvulsive-therapy-during-pregnancy
#1
Aubrey Thyen, Puneet Narang, Simrat Sarai, Gulay Tegin, Steven Lippmann
Women often experience worsening mood disorder symptoms during pregnancy. Women with mood disorders have an increased risk for suboptimal prenatal care, inadequate weight gain, and more substance abuse during pregnancy. It is often difficult to balance pharmacotherapy risks to a developing fetus versus not medicinally treating maternal mental health conditions. Electroconvulsive therapy (ECT) is a rapid and effective treatment option that can be an appropriate intervention in some women during pregnancy. This report presents an overview of ECT in pregnancy and the case of a 28-year-old pregnant woman with bipolar mania who responded well to ECT...
July 13, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28715378/the-optical-fractionator-technique-to-estimate-cell-numbers-in-a-rat-model-of-electroconvulsive-therapy
#2
Mikkel Vestergaard Olesen, Esther Kjær Needham, Bente Pakkenberg
Stereological methods are designed to describe quantitative parameters without making assumptions about size, shape, orientation and distribution of cells or structures. These methods have been revolutionary for quantitative analysis of the mammalian brain, in which volumetric cell populations are too high to count manually, and stereology is now the technique of choice whenever estimates of three-dimensional quantities need to be extracted from measurements on two-dimensional sections. All stereological methods are in principle unbiased; however, they rely on proper knowledge about the structure of interest and the characteristics of the tissue...
July 9, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28714751/antidepressant-efficacy-of-electroconvulsive-therapy-is-associated-with-a-reduction-of-the-innate-cellular-immune-activity-in-the-cerebrospinal-fluid-in-patients-with-depression
#3
Laura Kranaster, Carolin Hoyer, Suna S Aksay, J Malte Bumb, Norbert Müller, Peter Zill, Markus J Schwarz, Alexander Sartorius
OBJECTIVES: A bidirectional link between the antidepressant effects of electroconvulsive therapy (ECT) and the modulation of the immune system has been proposed. To elucidate the interplay between antidepressant treatment and macrophage/microglia activation in humans, we performed a study on the effects of the antidepressant treatment by ECT on markers of macrophage/microglia activation in patients with depression. METHODS: We measured six different markers (IL-6, neopterin, sCD14, sCD163 MIF and MCP1) of macrophage/microglia activation in the cerebrospinal fluid (CSF) and blood of 12 patients with a severe, treatment-resistant depressive episode before and after a course of ECT...
July 17, 2017: World Journal of Biological Psychiatry
https://www.readbyqxmd.com/read/28704239/dexmedetomidine-and-post-electroconvulsive-therapy-agitation-scores
#4
Chittaranjan Andrade, David L Streiner
No abstract text is available yet for this article.
July 12, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28694625/does-gender-influence-electroconvulsive-therapy-sessions-required-across-psychiatric-diagnoses-a-5-year-experience-from-a-single-center
#5
Harshini Manohar, Karthick Subramanian, Vikas Menon, Shivanand Kattimani
CONTEXT: There is a paucity of systematic data reflecting the practice of electroconvulsive therapy (ECT) from developing countries. AIM: We aimed to identify the number of ECT sessions required to yield response and gender diffeferences in the number of sessions across various diagnostic categories. SETTING AND DESIGN: A record-based study from a teaching cum tertiary care hospital in South India. SUBJECTS AND METHODS: Case records of patients who received modified ECT from January 2011 to January 2016 were reviewed...
July 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28681993/changes-over-12%C3%A2-years-in-the-distribution-of-age-sex-and-diagnosis-of-patients-undergoing-electroconvulsive-therapy-at-shinshu-university-hospital
#6
Kazuhiro Suzuki, Tohru Takahashi, Kazuhito Takahashi, Masahiro Uzawa, Dai Ohya, Mifumi Iizawa, Yuka Takahashi, Takehiko Yasaki, Nobuhiro Sugiyama, Shinsuke Washizuka
No abstract text is available yet for this article.
July 6, 2017: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/28671238/reducing-falls-after-electroconvulsive-therapy-a-quality-improvement-project
#7
Allana Marie Brown
Falls after electroconvulsive therapy (ECT) in patients 60 and older have been long recognized as a major clinical care issue across many mental health care settings. The evidence base for fall prevention strategies after receiving ECT is sparse. The risk factors for falls after ECT are vast and complex in nature, especially considering existing comorbid medical conditions. The dearth of research in guiding practitioners on fall reduction interventions for this patient population illuminates a gap in mental health care quality and safety...
July 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28663621/effect-of-premedication-with-oral-clonidine-on-hemodynamic-response-during-electroconvulsive-therapy
#8
Mangi Lal Deganwa, Rajesh Sharma, Avneesh Khare, Divya Sharma
BACKGROUND: Electroconvulsive therapy (ECT) is the most effective treatment available for the acute treatment of depression in patients who do not respond to medications. It is generally used as a second line treatment for many psychological disorders, mainly major depression and schizophrenia where medication is not effective. ECT is often associated with some complications such as hypertension, tachycardia arrhythmia and even myocardial infarction. Various methods have been used for prevention or control of these cardiovascular side effects...
April 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28658489/association-of-electroconvulsive-therapy-with-psychiatric-readmissions-in-us-hospitals
#9
Eric P Slade, Danielle R Jahn, William T Regenold, Brady G Case
Importance: Although electroconvulsive therapy (ECT) is considered the most efficacious treatment available for individuals with severe affective disorders, ECT's availability is limited and declining, suggesting that information about the population-level effects of ECT is needed. Objective: To examine whether inpatient treatment with ECT is associated with a reduction in 30-day psychiatric readmission risk in a large, multistate sample of inpatients with severe affective disorders...
June 28, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28658461/modern-electroconvulsive-therapy-vastly-improved-yet-greatly-underused
#10
Harold A Sackeim
No abstract text is available yet for this article.
June 28, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28658012/use-of-electroconvulsive-therapy-in-dementia-related-agitation-a-case-series
#11
M Caroline Burton, Sandra L Koeller, Frank M Brekke, Adonye T Afonya, Bruce Sutor, Maria I Lapid
OBJECTIVES: This naturalistic prospective observation study examines the efficacy of electroconvulsive therapy (ECT) in treating dementia-related agitation. METHODS: Patients with dementia-related agitation who received ECT were compared with patients with the same condition who did not receive ECT using Cohen-Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory (NPI)-nursing home version, and Clinical Global Impression Scale (CGI). Outcomes were compared between ECT-treated and non-ECT-treated patients...
June 28, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28658011/the-clinical-alliance-and-research-in-electroconvulsive-therapy-network-an-australian-initiative-for-improving-service-delivery-of-electroconvulsive-therapy
#12
Donel M Martin, Verònica Gálvez, Shani Lauf, Vanessa Dong, Stephen A Baily, Narcís Cardoner, Herng N Chan, Don Davidson, Johnson Fam, Nick De Felice, Erika Martinez-Amoros, Titus Mohan, Jothi Ramalingam, Shanthi I Sarma, Phern C Tor, Susan Waite, Colleen K Loo
OBJECTIVE: There is currently substantial heterogeneity in electroconvulsive therapy (ECT) treatment methods between clinical settings. Understanding how this variation in clinical practice is related to treatment outcomes is essential for optimizing service delivery. The Clinical Alliance and Research in ECT Network is a clinical and research framework with the aims of improving clinical practice, enabling auditing and benchmarking, and facilitating the collection of naturalistic clinical data...
June 28, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28658010/refractory-catatonia-due-to-n-methyl-d-aspartate-receptor-encephalitis-responsive-to-electroconvulsive-therapy-the-clinical-use-of-the-clock-drawing-test
#13
Michel Medina, Joseph J Cooper
No abstract text is available yet for this article.
June 28, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28658009/is-maintenance-electroconvulsive-therapy-always-an-elective-procedure-weighing-medical-versus-psychiatric-risk
#14
Isobel A Rosenthal, Charles H Kellner
Because of the severe nature of psychiatric illness, electroconvulsive therapy (ECT) is not always an "elective procedure." The pre-ECT medical evaluation, although important, should not be an impediment to timely ECT. We argue that an arbitrary regulation requiring new assessments every 30 days may be unduly burdensome and unnecessary. The small medical risk of treatment should be weighed against the potential psychiatric risk (including suicide) of delayed treatment.
June 28, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28657697/vascular-risk-factors-in-older-patients-with-depression-outcome-of-electroconvulsive-therapy-versus-medication
#15
Harm-Pieter Spaans, Rob M Kok, Filip Bouckaert, Julia F Van Den Berg, Orlaith C Tunney, Pascal Sienaert, Esmée Verwijk, King H Kho, Max L Stek
OBJECTIVE: Research suggests that in depression, vascular burden predicts a lower efficacy for medication (MED) and a more favourable outcome for electroconvulsive therapy (ECT). Therefore, we investigated the influence of the following vascular risk factors (VRF): hypercholesterolemia, hypertension, smoking, diabetes mellitus, cardiovascular disease, and cerebral vascular accident/transient ischemic attack, on remission from major depression after ECT versus MED. METHODS: The study sample consisted of 81 inpatients with a DSM-IV unipolar major depression diagnosis (mean age 72...
June 28, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28647110/success-of-tardive-electroconvulsive-therapy-sessions-after-loxapine-induced-malignant-syndrome-in-the-context-of-very-poor-metabolisation
#16
Juliette Descoeur, Laurent Philibert, Kevin Chalard, Jérôme Attal, Pierre Petit, Kada Klouche, Mathieu Olivier
We report the success of tardive electroconvulsive therapy in a case of loxapine malignant syndrome with catatonia. Loxapine and its metabolites were measured in biological samples by liquid chromatography coupled to tandem mass spectrometry. Genes were studied by sequencing and quantitative polymerase chain reaction (PCR). Plasmatic drug concentrations showed a supratherapeutic concentration of loxapine with a very low 8-hydroxyloxapine/loxapine ratio (range from 0.32 to 0.66, normal value>2 for 100mg) and a very long elimination half-life of loxapine (half-life>140h, normal value from 1 to 4hours)...
May 29, 2017: Thérapie
https://www.readbyqxmd.com/read/28640171/changes-in-electroconvulsive-therapy-practice-in-the-last-12-years-in-hungary
#17
Márton Asztalos, Gabor S Ungvari, Gábor Gazdag
BACKGROUND: Electroconvulsive therapy (ECT) was rarely used in Hungary in 2002, and the majority of patients receiving ECT were diagnosed with schizophrenia. This study aimed to explore the use of ECT in Hungary in 2014. METHODS: Two semi-structured questionnaires were sent to all acute adult psychiatric units in Hungary. The first questionnaire contained items concerning ECT use, and the second explored the reasons for not using ECT. RESULTS: Fifty-eight acute psychiatric inpatient units were identified, and 54 replied...
June 15, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28640170/effectiveness-of-electroconvulsive-therapy-and-associated-cognitive-change-in-schizophrenia-a-naturalistic-comparative-study-of-treating-schizophrenia-with-electroconvulsive-therapy
#18
Phern-Chern Tor, Jiangbo Ying, New Fei Ho, Mingyuan Wang, Donel Martin, Chai Pin Ang, Chunzhen Tan, Lee Shen Yap, Vincent John Magat Lu, Brett Simpson, Yee Ming Mok, Colleen Loo
OBJECTIVE: There is limited evidence regarding the relative treatment effectiveness and cognitive effects of different types of electroconvulsive therapy (ECT) in schizophrenia. In this study, we sought to determine the overall effectiveness and compare the symptomatic and cognitive outcomes of patients with schizophrenia who received different modalities of ECT treatment. METHODS: Patients received 1 of 4 of the following ECT modalities: bitemporal ECT with age-based dosing, right unilateral ECT with seizure threshold-based dosing, bitemporal ECT with seizure threshold-based dosing, and bifrontal ECT with seizure threshold-based dosing ECT...
June 15, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28640169/the-use-of-lorazepam-and-electroconvulsive-therapy-in-the-treatment-of-catatonia-treatment-characteristics-and-outcomes-in-60-patients
#19
Ahmet Unal, Abdurrahman Altindag, Bahadir Demir, Ihsan Aksoy
OBJECTIVES: Lorazepam and electroconvulsive therapy (ECT) are effective treatments for catatonia. However, systematic data on these treatments in catatonia are limited. In the present study, we aimed to investigate the clinical and treatment-related characteristics of patients with catatonia who underwent lorazepam and/or ECT. METHODS: Between January 2012 and December 2016, we received 60 patients with catatonia hospitalized in the Gaziantep University Faculty of Medicine Clinic of Psychiatry...
June 20, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28640168/degree-of-postictal-suppression-depends-on-seizure-induction-time-in-magnetic-seizure-therapy-and-electroconvulsive-therapy
#20
Sarah Kayser, Bettina H Bewernick, Martin Soehle, Christina Switala, Sabrina M Gippert, Nadine Dreimueller, Thomas E Schlaepfer
OBJECTIVES: Anesthesia is required for both magnetic seizure therapy (MST) and electroconvulsive therapy (ECT), although it has anticonvulsant properties. In this case, bispectral index (BIS) monitoring, a specific electroencephalogram-derived monitoring, can be used to find the optimal seizure induction time during anesthesia to elicit adequate seizures. A measurement of seizure adequacy in electroencephalogram is the postictal suppression. The purpose of this study was to investigate the influence of seizure induction time on the degree of postictal suppression by comparing BIS versus no-BIS monitoring in MST and ECT...
June 20, 2017: Journal of ECT
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