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Elloumi Hend, Zalila Haifa, Kallel Ghada, Cheour Majda, Boussetta Afif
BACKGROUND: The chronic character of schizophrenia, the suffering that it generates, its triple social and human economic cost, make of it a major stake of public health. The general practitioners are the first actors in the tracking of onset schizophrenia and the follow-up of this chronic pathology. AIM: To study knowledge, the attitudes and the practices of the general practitioners faced to schizophrenia. METHODS: A descriptive cross-sectional study, using an auto questionnaire, including 300 general practitioners registered in the table of the order of the Doctors of the area of Large Tunis, exerting in private and public sectors...
June 2012: La Tunisie M├ędicale
Nahathai Wongpakaran, Tinakon Wongpakaran, Putipong Bookamana, Manee Pinyopornpanish, Benchalak Maneeton, Peerasak Lerttrakarnnon, Kasem Uttawichai, Surin Jiraniramai
BACKGROUND: Delirium is a common illness among elderly hospitalized patients. However, under-recognition of the condition by non-psychiatrically trained personnel is prevalent. This study investigated the performance of family physicians when detecting delirum in elderly hospitalized Thai patients using the Thai version of the Confusion Assessment Method (CAM) algorithm. METHODS: A Thai version of the CAM algorithm was developed, and three experienced Thai family physicians were trained in its use...
2011: BMC Family Practice
Pablo Irimia, Eduardo Martinez-Vila, Antonio Martinez-Cuesta, Javier Zulueta
Delirum is a common complication in hospitalized patients and it is characterized by acute disturbances of consciousness, attention, cognition, and perception. Despite the frequency with which it is observed, ischemic stroke is generally considered as an unusual cause of delirium. A subtype of brain embolism is characterized by multiple small emboli in different vascular territories, a condition known as "brain microembolism." Given the high contrast of acute ischemic lesions in diffusion weighted imaging (DWI) this technique is particularly helpful to detect these small infarctions...
April 2007: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
Seema Joshi
Delirium is a serious complication of physical illness that is commonly seen in the elderly individuals admitted to the hospital. It is associated with increased mortality, increased length of stay in the hospital, institutionalization and other complications. Multiple predisposing factors in the elderly them to make vulnerable delirium. The developing diagnosis of delirium is often missed and the condition is often poorly managed. There is increasing evidence suggesting that primary prevention of delirium is the most effective treatment strategy...
January 2007: Missouri Medicine
Natalie Moryl, Maria Kogan, Christopher Comfort, Eugenie Obbens
OBJECTIVE: This prospective study documents the use of methadone as part of an opioid rotation strategy in patients with uncontrolled pain and severe delirium admitted for terminal care to a tertiary cancer palliative care hospital. METHODS: We reviewed the treatment of 20 patients with severe pain and delirium at the end of life who's delirium did not improve 24 h or longer after starting a neuroleptic medication. RESULTS: Ten male and 10 female patients, 47 to 77 years old, were rotated or "switched" to methadone due to uncontrolled pain in the setting of delirium, limiting further opioid dose escalation...
December 2005: Palliative & Supportive Care
Vanni Agnoletti, Luca Ansaloni, Fausto Catena, Rabbih Chattat, Angelo De Cataldis, Gianfranco Di Nino, Claudio Franceschi, Stefano Gagliardi, Rita Maria Melotti, Antonella Potalivo, Mario Taffurelli
BACKGROUND: Delirum is common in hospitalized elderly patients and may be associated with increased morbidity, length of stay and patient care costs. Delirium (acute confusional state) is defined as an acute disorder of attention and cognition. In elderly patients, delirium is often an early indicator of patho-physiological disturbances. Despite landmark studies dating back to the 1940s, the pathogenesis of Delirium remains poorly understood. Early investigators noted that Delirium was characterized by global cortical dysfunction that was associated predominantly with specific electroencephalographic changes...
2005: BMC Surgery
Richard D Blondell, Glen E Powell, Heather N Dodds, Stephen W Looney, James K Lukan
BACKGROUND: The purpose of this study was to describe the admission characteristics of trauma victims that are predictive of the development of delirium during hospitalization. METHODS: In this case-control study, data (demographics, injury type, medical histories, admission laboratory values, medications, and outcomes) were obtained from the records of 120 patients in whom delirium developed and 145 in whom it did not after admission for traumatic injury. Odds ratios were employed to identify significant predictors used in a stepwise logistic regression analysis...
March 2004: American Journal of Surgery
No abstract text is available yet for this article.
October 1964: American Journal of Psychiatry
K Botteron, G S Figiel, C F Zorumski
The authors describe the brain magnetic resonance imaging results and the clinical courses of three patients with late-onset psychoses who were treated with electroconvulsive therapy (ECT). Consistent with previous work, preexisting structural brain changes were present in all three patients. The two patients with the more severe structural changes (lateral ventricular enlargement and large deep-white-matter hyperintensities) failed to respond to ECT. In addition, all three patients had caudate hyperintensities and developed a prolonged interictal ECT-induced delibrium...
January 1991: Journal of Geriatric Psychiatry and Neurology
P E Gilbert, W R Martin
A series of morphine-like and nalorphine-like drugs were studied in the nondependent, morphine-dependent and cyclazocine-dependent chronic spinal dog. In the nondependent dog, three profiles of activity were found which could be utilized to distinguish between morphine, WIN 35, 197-2 and cyclazocine. Propiram, a prototypic partial agonist of the morphine type, produced morphine-like effects in nondependent dogs and both precipitated and suppressed abstinence in cyclazocine-dependent dogs as was needed to precipitate abstinence in morphine-dependent dogs...
July 1976: Journal of Pharmacology and Experimental Therapeutics
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