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Aghaegbulam Uga, Shreedhar Kulkarni, Vineka Heeramun, Kathy Bottum
BACKGROUND: Chronic illnesses are prevalent in general medical and psychiatric practices, causing significant disease burden to care givers and providers. Systems of care that treat individuals with mental illness are often separate from general medical systems of care. OBJECTIVE: This study sought to compare the quality of life, satisfaction with care, and utilization of care in patients with comorbid chronic medical and mental illnesses. METHODS: A total of 64 participants from an integrated medicine and psychiatry clinic (med/psych), were compared with 52 patients from separate internal medicine and psychiatry clinics (within the same institution) for quality of life, satisfaction with care, and utilization of care...
July 2017: Psychosomatics
Diane DerMarderosian, Heather A Chapman, Margaret K Kozel, Francine R Pingitore, Michelle L Rickerby
No abstract text is available yet for this article.
September 1, 2016: Rhode Island Medical Journal
Sean E Ervin, Jane Williams
No abstract text is available yet for this article.
January 2013: Hospital Pediatrics
S H A Brouns, J Schieveld, C Leue
A 17-year-old man was referred to the Med-Psych-Unit because of recurrent episodes of hypersomnia, megaphagia, hypersexual behaviour and cognitive disturbances. Over the period of three years he suffered more than 10 episodes of hypersomnia each lasting 8 to 16 days. The clinical presentation was suggestive of the Kleine-Levin syndrome. The symptoms disappeared after treatment with methylphenidate, but it was not clear whether this could be attributed to the medication or to the self-limiting character of the illness...
2012: Tijdschrift Voor Psychiatrie
Bridie McCarthy
BACKGROUND: Recent changes in healthcare management generally and in cancer care in particular, indicate a major shift in the clinical management of cancer from hospitals and healthcare professionals (HCPs) to patients and families. In light of these changes national and international policies and reports by the Department of Health and Children (2001, 2006) and the World Health Organisation (2004) have recommended that HCPs support family members (FMs) to care for loved ones. The purpose of this review therefore was to explore the extent to which FMs' needs are realised by HCPs in practice...
December 2011: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Helen Kopnina, Joke A Haafkens
INTRODUCTION: While Human Resource Managers (HRM) and line managers could play a significant role in the prevention of job-related problems and in promotion of early job-continuation, it is not clear wether the chronically ill workers are recognized as a group. Unlike some other groups, distinguished by gender, age or ethnicity, those with chronic illness are less distinct and may not be included in diversity management programs. The aim of this research is to address theory and evidence in literature about the topic, as well as to inquire whether chronic illness of the employees is 'visible' in practice...
June 2010: Journal of Occupational Rehabilitation
Stephen A Wonderlich, Kathryn H Gordon, James E Mitchell, Ross D Crosby, Scott G Engel
OBJECTIVE: This review attempted to examine the validity and clinical utility of the DSM-IV binge eating disorder (BED) diagnosis across a wide range of validating strategies. METHOD: Various electronic databases (Pub Med, Psych Info) were searched for terms relevant to the diagnosis of BED (e.g., binge eating disorder, binge eating) in order to identify papers. Additionally, published papers were reviewed in order to locate additional manuscripts and papers that were presented at meetings...
December 2009: International Journal of Eating Disorders
Naomi Ellis, Diane Crone, Rachel Davey, Sarah Grogan
PURPOSE: To review the existing evidence examining effectiveness of exercise as an adjunct therapy for psychosis. METHOD: A search of databases including Pub Med, Psych Info, Cochrane Library, Cinahl, Sports Discus and Web of Knowledge was conducted to identify studies investigating the psychological changes following exercise interventions in people with psychosis. Literature was subjected to a critical review to determine the effectiveness of exercise as a therapy for psychosis...
March 2007: British Journal of Clinical Psychology
Don R Lipsitt
General hospitals have had an illustrious role in the evolution of psychiatry. They have provided a rich soil for the growth of inpatient psychiatric units, consultation-liaison psychiatry, psychosomatic medicine, med-psych units, outpatient psychiatric clinics, emergency services and a whole spectrum of resources for the communities in which they dwell. In some respects, whether attached to universities or not, they have functioned as small colleges for the education and training of scores of health professionals...
June 2003: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
Jane Petrie, Frances Bunn, Geraldine Byrne
We conducted a systematic review of controlled studies of parenting programmes to prevent tobacco, alcohol or drug abuse in children <18. We searched Cochrane Central Register of Controlled Trials, specialized Register of Cochrane Drugs and Alcohol Group, Pub Med, psych INFO, CINALH and SIGLE. Two reviewers independently screened studies, extracted data and assessed study quality. Data were collected on actual or intended use of tobacco, alcohol or drugs by child, and associated risk or antecedent behaviours...
April 2007: Health Education Research
Jerry Cromwell, Edward M Drozd, Barbara Gage, Jan Maier, Erin Richter, Howard H Goldman
BACKGROUND: The Balanced Budget Refinement Act of 1999 included a Congressional mandate to develop a patient-level case mix prospective payment system (PPS) for all Medicare beneficiaries treated in PPS-exempt psychiatric facilities. Payment levels by case mix category have been proposed by the government based on claims and facility cost reports. Because of claims data limitations, these levels do not account for patient-specific staffing costs within a facility's routine units, nor are certain key patient characteristics considered for higher payment...
March 2005: Journal of Mental Health Policy and Economics
Gary H Wynn, Kelly L Cozza, Michael J Zapor, Glenn W Wortmann, Scott C Armstrong
The third in a series reviewing the HIV/AIDS antiretroviral drugs, this report summarizes the interactions between antiretrovirals and common drugs of abuse. In an overview format for primary care physicians and psychiatrists, the metabolism and drug interactions in the context of antiretroviral therapy are presented for the following drugs of abuse: alcohol, benzodiazepines, cocaine, GHB (liquid X), ketamine (special K), LSD (acid), MDMA (Ecstasy), opiates, PCP (angel dust), and THC (marijuana).
January 2005: Psychosomatics
Scott C Armstrong, Kelly L Cozza, Elisabeth A Pimentel
This edition of the Med-Psych Drug-Drug Interactions Update begins a change in format. Starting with this column, each column will feature one drug-drug interaction (DDI) topic that will be explored in depth. This edition features DDIs associated with the commonly used immunosuppressants. These drugs are frequently encountered by consultation-liaison psychiatrists in tertiary care settings. Generally, most of these drugs have narrow safety and therapeutic windows; therefore, other drugs that change their serum levels can have deleterious effects...
September 2002: Psychosomatics
Scott C Armstrong, Kelley L Cozza, David M Benedek
No abstract text is available yet for this article.
May 2002: Psychosomatics
Scott C Armstrong, Kelly L Cozza
No abstract text is available yet for this article.
March 2002: Psychosomatics
Scott C Armstrong, Kelly L Cozza, Jessica R Oesterheld
No abstract text is available yet for this article.
January 2002: Psychosomatics
S C Armstrong, K L Cozza
No abstract text is available yet for this article.
September 2001: Psychosomatics
T H Loew, K Goeta-Kreisler
No abstract text is available yet for this article.
December 15, 1995: Medizinische Klinik
J P Griffith
A new internal medicine/psychiatry outpatient clinic was recently established at Charleston Area Medical Center (CAMC). This report describes the clinical profiles of the first 52 patients and also reviews the clinic's staffing, facilities, referral sources and reimbursement. For large community hospitals, a med-psych clinic may be a useful method of providing psychiatric treatment to medically-ill outpatients.
September 1994: West Virginia Medical Journal
B S Fogel
Although medical-psychiatric units may have unique advantages for treating patients with combined medical and psychiatric illness, they may be costly to run, and their success requires a sound financial basis. This begins with filling beds and instituting a waiting list, and then setting admission priorities to regulate case mix deliberately to address financial as well as ethical and clinical considerations. Development of short-stay geropsychiatric evaluation services may offset financial problems associated with long stays of elderly patients requiring definitive treatment for complex conditions...
January 1989: General Hospital Psychiatry
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