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https://www.readbyqxmd.com/read/29317844/a-survey-of-adult-referrals-to-specialist-attention-deficit-hyperactivity-disorder-clinics-in-canada
#1
Larry J Klassen, C Matthew Blackwood, Christopher J Reaume, Samuel Schaffer, James G Burns
Background: Canadian guidelines encourage family physicians to diagnose/manage adults with uncomplicated attention-deficit/hyperactivity disorder (ADHD); specialist referral is recommended only for complex cases. This retrospective case review investigated adults referred to Canadian ADHD clinics. Methods: Adult ADHD specialists reviewed referral letters/charts of patients (aged ≥18 years and no family history/known/expressed childhood ADHD) from family physicians/psychiatrists over 2 years...
2018: International Journal of General Medicine
https://www.readbyqxmd.com/read/29184582/challenges-of-nurses-empowerment-in-the-management-of-patient-aggression-a-qualitative-study
#2
Tahereh Ramezani, Sakineh Gholamzadeh, Camellia Torabizadeh, Farkhondeh Sharif, Laaya Ahmadzadeh
Background: Patients' aggression in the mental care setting is a global health problem with major psychological, physical, and economic consequences; nurse empowerment to manage this aggressive behavior is an important step in psychiatric nursing. The aim of this study was to explore psychiatric nurses' experiences of the challenges of empowerment in the management of patients' aggression. Materials and Methods: This qualitative study was performed among 20 nurses working in a major referral psychiatric center in Iran during 2014-2016...
November 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29075398/author-s-response-to-comply-with-federal-laws-before-checking-institutional-guidelines-on-resident-referrals-for-psychiatric-evaluations
#3
Christopher R Thomas
No abstract text is available yet for this article.
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29075397/comply-with-federal-laws-before-checking-institutional-guidelines-on-resident-referrals-for-psychiatric-evaluations
#4
COMMENT
Nicholas D Lawson
No abstract text is available yet for this article.
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28883749/student-selected-component-in-the-medical-curriculum-investigations-and-psychiatric-referral-for-paracetamol-overdose-in-an-accident-and-emergency-department
#5
James G Cowman, Manuel Bakheet
BACKGROUND: A student-selected component (SSC) of the medical curriculum requires the student to be self-directed in locating and undertaking a placement in a clinical specialty of their choosing and completing a project. The clinical area for experience was an accident and emergency department, and our topic was a focused audit on the investigations and referral for paracetamol overdose. The purpose of this paper is twofold: to reflect on the education value to medical students of an SSC in a medical curriculum, and to highlight learning and understanding through completion of an audit...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28867427/prevalence-and-effectiveness-of-psychiatric-treatments-for-patients-with-ibd-a-systematic-literature-review
#6
REVIEW
Ilaria Tarricone, Maria Giulia Regazzi, Giulia Bonucci, Fernando Rizzello, Giovanni Carini, Roberto Muratori, Gilberto Poggioli, Massimo Campieri
OBJECTIVES: Higher prevalence of psychiatric disorders, such as anxiety and depression, has been found in people with Crohn's disease and Ulcerative Colitis compared to the general population. Nowadays, international guidelines advocate psychotherapy and psycho-pharmacological treatments as playing an important role in IBD care. The main goal of this systematic literature review was summarize the evidence on the utilization and effectiveness of treatments for depression and anxiety in persons with IBD...
October 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28665542/effects-of-stepped-psychooncological-care-on-referral-to-psychosocial-services-and-emotional-well-being-in-cancer-patients-a-cluster-randomized-phase-iii-trial
#7
Susanne Singer, Helge Danker, Julia Roick, Jens Einenkel, Susanne Briest, Henning Spieker, Andreas Dietz, Isabell Hoffmann, Kirsten Papsdorf, Jürgen Meixensberger, Joachim Mössner, Franziska Schiefke, Anja Dietel, Hubert Wirtz, Dietger Niederwieser, Thomas Berg, Anette Kersting
OBJECTIVE: Emotional distress in cancer patients often goes unnoticed in daily routine; therefore, distress screening is now recommended in many national guidelines. However, screening alone does not necessarily translate into better well-being. We examined whether stepped psychooncological care improves referral to consultation-liaison (CL) services and improves well-being. METHODS: In a cluster-randomized trial, wards were randomly allocated to stepped versus standard care...
October 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28499315/-usual-care-for-panic-disorder-with-without-agoraphobia-in-primary-care
#8
Michael Sommer, Thomas S Hiller, Jörg Breitbart, Nico Schneider, Tobias Teismann, Antje Freytag, Jochen Gensichen
Objective To describe therapy as usual (TAU) for panic disorder with/without agoraphobia (PDA) in primary care. Method Written survey of 38 general practitioners (GPs) who provided TAU to 189 patients with PDA as part of an interventional study. Data were analyzed descriptively. Results The most common TAU-interventions were: exploration of psychosocial problems (83 %), recommendation not to avoid anxiety-provoking stimuli (72 %), prescription of SSRIs (62 %). Common reasons for referrals were various psychiatric comorbidities and treatment-refractory anxiety (77 %)...
May 12, 2017: Psychiatrische Praxis
https://www.readbyqxmd.com/read/28458571/management-of-the-psychological-comorbidities-of-dermatological-conditions-practitioners-guidelines
#9
REVIEW
Cody J Connor
Dermatological disease can be devastating for patients, and although dermatologists are focused on remedying the cutaneous manifestations of these conditions, it is easy to miss the psychological suffering lurking below. Studies reveal that psychiatric comorbidity in dermatology is highly prevalent. Undetected psychopathology can greatly decrease a patient's quality of life and even contribute significantly to the clinical severity of their skin disease. For these reasons, it is vital that practitioners learn to detect psychological distress when it is present, and it is equally essential that they understand the treatment options available for effective intervention...
2017: Clinical, Cosmetic and Investigational Dermatology
https://www.readbyqxmd.com/read/28059446/elimination-of-pain-improves-specificity-of-clinical-diagnostic-criteria-for-adult-chronic-rhinosinusitis
#10
Scott D Hirsch, Evan R Reiter, Laurence J DiNardo, Wen Wan, Theodore A Schuman
OBJECTIVE: Determine whether the elimination of pain improves accuracy of clinical diagnostic criteria for adult chronic rhinosinusitis. STUDY DESIGN: Retrospective cohort study. METHODS: History, symptoms, nasal endoscopy, and computed tomography (CT) results were analyzed for 1,186 adults referred to an academic otolaryngology clinic with presumptive diagnosis of chronic rhinosinusitis. Clinical diagnosis was rendered using the 1997 Rhinosinusitis Taskforce (RSTF) Guidelines and a modified version eliminating facial pain, ear pain, dental pain, and headache...
May 2017: Laryngoscope
https://www.readbyqxmd.com/read/27822049/prevalence-and-related-factors-of-psychological-distress-among-cancer-inpatients-using-routine-distress-thermometer-and-chinese-health-questionnaire-screening
#11
Yu-Jie Chiou, Nien-Mu Chiu, Liang-Jen Wang, Shau-Hsuan Li, Chun-Yi Lee, Ming-Kung Wu, Chien-Chih Chen, Yi-Shan Wu, Yu Lee
BACKGROUND: Clinical practice guidelines suggest routine screening for distress among cancer patients for immediate early psychiatric care. However, previous studies focusing on routine screening for psychological distress among cancer inpatients in Taiwan are scant. Thus, the aim of this study was to evaluate the prevalence and related factors of psychological distress and mental illness among cancer inpatients in Taiwan. PATIENTS AND METHODS: This study was conducted as a retrospective chart review in a general hospital in southern Taiwan...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27383853/missed-opportunities-for-health-promotion-intervention-in-the-management-of-alcohol-withdrawal-syndrome
#12
Jessica Johnson, David E Wilson, Bennett P deBoisblanc
OBJECTIVE: We aimed to characterize utilization of evidence-based health promotion practices not included in Alcohol Withdrawal Syndrome (AWS) guidelines, such as vaccinations and counseling services, hypothesizing that missed opportunities for health promotion intervention would abound. METHODS: Retrospective medical record review of 99 patients presenting to a safety-net academic medical center with AWS between August 1, 2012 and March 31, 2013. RESULTS: Thiamine replacement (70%), tobacco cessation counseling (28%), influenza or pneumonia vaccination (25% and 28% respectively), psychiatric counseling (70%), referral to alcohol support group or treatment center(40%), and screening for viral hepatitis and HIV (39% and 44%, respectively) were documented by healthcare providers at lower than optimal frequency...
March 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27342215/community-based-rehabilitation-intervention-for-people-with-schizophrenia-in-ethiopia-rise-study-protocol-for-a-cluster-randomised-controlled-trial
#13
Laura Asher, Mary De Silva, Charlotte Hanlon, Helen A Weiss, Rahel Birhane, Dawit A Ejigu, Girmay Medhin, Vikram Patel, Abebaw Fekadu
BACKGROUND: Care for most people with schizophrenia is best delivered in the community and evidence-based guidelines recommend combining both medication and a psychosocial intervention, such as community-based rehabilitation. There is emerging evidence that community-based rehabilitation for schizophrenia is effective at reducing disability in middle-income country settings, yet there is no published evidence on the effectiveness in settings with fewer mental health resources. This paper describes the protocol of a study that aims to evaluate the effectiveness of community-based rehabilitation as an adjunct to health facility-based care in rural Ethiopia...
June 24, 2016: Trials
https://www.readbyqxmd.com/read/27138771/missed-opportunities-for-health-promotion-intervention-in-the-management-of-alcohol-withdrawal-syndrome
#14
Jessica Johnson PharmD, David E Wilson PharmD, Bennett P deBoisblanc Md
OBJECTIVE: We aimed to characterize utilization of evidence-based health promotion practices not included in Alcohol Withdrawal Syndrome (AWS) guidelines, such as vaccinations and counseling services, hypothesizing that missed opportunities for health promotion intervention would abound. METHODS: Retrospective medical record review of 99 patients presenting to a safety-net academic medical center with AWS between August 1, 2012 and March 31, 2013. RESULTS: Thiamine replacement (70%), tobacco cessation counseling (28%), influenza or pneumonia vaccination (25% and 28% respectively), psychiatric counseling (70%), referral to alcohol support group or treatment center(40%), and screening for viral hepatitis and HIV (39% and 44%, respectively) were documented by healthcare providers at lower than optimal frequency...
March 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/26994436/clinical-management-following-self-harm-in-a-uk-wide-primary-care-cohort
#15
Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb
BACKGROUND: Little is known about the clinical management of patients in primary care following self-harm. METHODS: A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CPRD) during 2001-2013. We identified 49,970 patients with a self-harm episode, 41,500 of whom had one complete year of follow-up. RESULTS: Among those with complete follow-up, 26,065 (62.8%, 62.3-63...
June 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/26881859/pharmacotherapy-of-aggression-in-child-and-adolescent-psychiatric-disorders
#16
REVIEW
Tina Gurnani, Iliyan Ivanov, Jeffrey H Newcorn
OBJECTIVE: Aggression is a common, yet complex, behavioral complaint, and a frequent indication for referral to child and adolescent psychiatrist treatment. This article reviews the evidence supporting pharmacotherapy of aggression in youth, with a primary focus on impulsive aggression (the primary indication for this intervention). Relevant diagnostic considerations and consensus guidelines are discussed. METHODS: Articles examining the role of medications in the treatment of aggression in youth with pathological aggression were identified using PubMed and MEDLINE® databases over the past 15 years (2000-2015); selected articles published prior to 2000 and deemed to be of high relevance were searched and also included...
February 2016: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/26880075/maternal-mental-health-in-primary-care-in-five-low-and-middle-income-countries-a-situational-analysis
#17
MULTICENTER STUDY
Emily C Baron, Charlotte Hanlon, Sumaya Mall, Simone Honikman, Erica Breuer, Tasneem Kathree, Nagendra P Luitel, Juliet Nakku, Crick Lund, Girmay Medhin, Vikram Patel, Inge Petersen, Sanjay Shrivastava, Mark Tomlinson
BACKGROUND: The integration of maternal mental health into primary health care has been advocated to reduce the mental health treatment gap in low- and middle-income countries (LMICs). This study reports findings of a cross-country situation analysis on maternal mental health and services available in five LMICs, to inform the development of integrated maternal mental health services integrated into primary health care. METHODS: The situation analysis was conducted in five districts in Ethiopia, India, Nepal, South Africa and Uganda, as part of the Programme for Improving Mental Health Care (PRIME)...
February 16, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/26828376/gender-dysphoria-in-adolescence
#18
REVIEW
Scott Leibowitz, Annelou L C de Vries
Adolescents presenting with gender-related concerns are increasingly seeking support from providers from a variety of disciplines within health care settings across the world. For those treating young people who meet the criteria for the DSM 5 diagnosis of gender dysphoria (GD), complex decisions in clinical care are common. Defining best practice with this population with respect to interventions that span mental health, physical, and surgical domains can be challenging, given a relative dearth of empirical data available; yet practice guidelines have emerged from different professional organizations which can aid with this...
2016: International Review of Psychiatry
https://www.readbyqxmd.com/read/26587055/effective-management-of-attention-deficit-hyperactivity-disorder-adhd-through-structured-re-assessment-the-dundee-adhd-clinical-care-pathway
#19
David Coghill, Sarah Seth
Attention-deficit/hyperactivity disorder (ADHD) has become a major aspect of the work of child and adolescent psychiatrists and paediatricians in the UK. In Scotland, Child and Adolescent Mental Health Services were required to address an increase in referral rates and changes in evidence-based medicine and guidelines without additional funding. In response to this, clinicians in Dundee have, over the past 15 years, pioneered the use of integrated psychiatric, paediatric, nursing, occupational therapy, dietetic and psychological care with the development of a clearly structured, evidence-based assessment and treatment pathway to provide effective therapy for children and adolescents with ADHD...
2015: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/26522782/-primary-care-and-mental-health-care-collaboration-in-patients-with-depression-evaluation-of-a-pilot-experience
#20
Carlos Calderón, Laura Balagué, Álvaro Iruin, Ander Retolaza, Jon Belaunzaran, Javier Basterrechea, Isabel Mosquera
OBJECTIVE: To implement and assess a collaborative experience between Primary Care (PC) and Mental Health (MH) in order to improve the care of patients with depression. DESIGN: Pilot collaborative project from a participatory action research approach during 2013. LOCATION: Basque Country. Osakidetza (Basque Health Service). Bizkaia and Gipuzkoa. PARTICIPANTS: The study included 207 professionals from general practice, nursing, psychiatry, psychiatric nursing, psychology and social work of 9 health centres and 6 mental health centres of Osakidetza...
June 2016: Atencion Primaria
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