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Medical presentations of psychiatric disease

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https://www.readbyqxmd.com/read/29757197/pharmacological-treatment-for-long-term-patients-with-schizophrenia-and-its-effects-on-sleep-in-daily-clinical-practice-a-pilot-study
#1
Peggy Bosch, Sabina Lim, Heike Staudte, Sujung Yeo, Sook-Hyun Lee, Pia Barisch, Benoît Perriard, Maurits Van den Noort
Background: Pharmacological treatment is still the key intervention in the disease management of long-term patients with schizophrenia; however, how it affects sleep and whether gender differences exist remains unclear. Methods: Forty-six long-term outpatients with schizophrenia entered the study. The numbers of antipsychotics, sleep medications, antidepressants, and anxiolytics were analyzed. Moreover, all patients were tested using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS)...
May 12, 2018: Medicines (Basel, Switzerland)
https://www.readbyqxmd.com/read/29736067/mix-headache-a-valid-clinical-entity
#2
Tapas Kumar Aich, Uttam Gupta, Sandip Subedi
Background: Chronic daily headache (CDH) patients respond better with a combination of anti-migraine and anti-stress medications, irrespective of clinical diagnosis of chronic migraine (CM) or chronic tension-type headache (CTTH). Hypothesis: "CDH: Mix headache" type is a valid clinical entity. Materials and Methods: A total of 70 participants fulfilling the diagnosis of "primary CDH", aged between 15 and 55 years were taken up for the present study...
January 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29735110/psychiatric-treatment-and-management-of-psychiatric-comorbidities-of-movement-disorders
#3
Kelda Harris Walsh, Katherine Soe, Shivali Sarawgi
Pediatric movement disorders may present with psychiatric symptoms at many points during the course of the disease. For the relatively common pediatric movement disorder, Tourette syndrome, psychiatric comorbidities are well-described and treatment is well-studied. Managing these comorbidities may be more effective than improving the movements themselves. For more uncommon movement disorders, such as juvenile-onset Huntington disease, treatment of psychiatric comorbidities is not well-characterized, and best-practice recommendations are not available...
April 2018: Seminars in Pediatric Neurology
https://www.readbyqxmd.com/read/29697713/alzhatv-a-nonpharmacological-intervention-to-manage-behavioral-and-psychological-symptoms-in-nursing-home-dementia-patients
#4
Smita U Varshney, Juhi U Varshney, Rajesh R Tampi, William V McCall, Upkar Varshney
BACKGROUND: Currently, 5 million seniors who reside in the community or assisted living or nursing facilities are affected by Alzheimer's disease and other neurocognitive disorders. They experience various psychiatric symptoms. Also, their family members are stressed from caregiving, and may feel guilty for not doing more. METHODS: We created an innovative nonpharmacological intervention, AlzhaTV, to decrease behavioral and psychological symptoms associated with neurocognitive disorders...
May 2018: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/29694523/-almas-delirantes-1925-by-lu%C3%A3-s-cebola-the-poetics-of-the-human-psyche-and-the-physician-as-mediator-between-the-universe-of-mental-illness-and-society
#5
Denise Pereira
Lúis Cebola's 1925 work Almas delirantes [Delusional Souls] presented various psychopathologies through metaphorical and lyrical portraits rather than from a medical/ scientific point of view, showing that he perceived his patients as more than objects of scientific study in a process of identification, empathy, and compassion. Cebola defined psychopathological states according to contrast with normality, but stressed that these diseases could arise in any individual, and the book simultaneously acted as a warning to readers...
March 2018: História, Ciências, Saúde—Manguinhos
https://www.readbyqxmd.com/read/29681874/alexithymia-in-gastroenterology-and-hepatology-a-systematic-review
#6
Danilo Carrozzino, Piero Porcelli
Background: Alexithymia is a multifaceted personality construct that represents a deficit in the cognitive processing of emotions and is currently understood to be related to a variety of medical and psychiatric conditions. The present review aims to investigate the relationship of alexithymia with gastrointestinal (GI) disorders as functional gastrointestinal disorders (FGID, as irritable bowel syndrome (IBS) and functional dyspepsia) and inflammatory bowel disease (IBD) [ulcerative colitis (UC) and Crohn's disease (CD)] and liver diseases as chronic hepatitis C (CHC), cirrhosis, and liver transplantation...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29670407/first-episode-psychosis-as-the-initial-presentation-of-multiple-sclerosis-a-case-report
#7
Athena Enderami, Rose Fouladi, Seyed Hamzeh Hosseini
Background: Multiple sclerosis (MS) is an inflammatory disease that affects the central nervous system (CNS). MS with episode of psychosis is a rare entity, and to the best of our knowledge, no case has been reported from Iran till date. Case presentation: We report a case of MS with first-episode psychosis in a 27-year-old single man with no history of psychiatric disorder or drug abuse. The patient developed neurological symptoms after 3 months and was finally diagnosed as a case of MS...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29644271/venlafaxine-induced-rem-sleep-behavioral-disorder-presenting-as-two-fractures
#8
R Ryan Williams, Gustavo Sandigo
Rapid eye movement (REM) sleep behavioral disorder is characterized by the absence of muscular atonia during REM sleep. In this disorder, patients can violently act out their dreams, placing them at risk for traumatic fractures during these episodes. REM sleep behavioral disorder (RBD) can be a sign of future neurodegenerative disease and has also been found to be a side effect of certain psychiatric medications. We present a case of venlafaxine-induced RBD in a 55 year old female who presented with a 13 year history of intermittent parasomnia and dream enactment in addition to a recent history of two fractures requiring intervention...
October 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29644197/clinical-spectrum-of-autoerythrocyte-sensitization-syndrome-a-series-of-five-cases
#9
Nandakishore Singh Thokchom, D Pradeepa, N A Bishurul Hafi, Kapila Verma
Autoerythrocyte sensitization syndrome (Gardner Diamond syndrome or GDS) is a rare syndrome characterized by painful and spontaneous purpura commonly affecting adult women, and is mostly associated with psychiatric illness. Diagnosis is mainly based on clinical presentation, exclusion of other simulating diseases, and psychiatric evaluation. Only few cases have been reported till date. We report five cases of spontaneous purpura with a normal investigation profile, except for iron deficiency anemia in 1 patient, of which three had associated underlying psychiatric illness...
March 2018: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/29643820/the-attribution-of-mental-health-problems-to-jinn-an-explorative-study-in-a-transcultural-psychiatric-outpatient-clinic
#10
Anastasia Lim, Hans W Hoek, Samrad Ghane, Mathijs Deen, Jan Dirk Blom
Background: Among Muslim patients, a common cultural concept of distress is the notion that jinn may be the cause of mental health problems, especially in the presence of hallucinations. Objective: This study examines the frequency with which this attribution style is manifest in a specific psychiatric outpatient population with a Muslim background. Methods: Of all patients registered at an outpatient clinic specialized in transcultural psychiatry, data were collected on folk belief, religion, hallucinations (if present), and medical diagnosis...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29619005/presence-of-anxiety-and-depression-symptoms-affects-the-first-time-treatment-efficacy-and-recurrence-of-benign-paroxysmal-positional-vertigo
#11
Wei Wei, Zahra N Sayyid, Xiulan Ma, Tian Wang, Yaodong Dong
Objectives: To investigate the possible effects of anxiety and/or depression symptoms on the treatment outcomes and recurrence of benign paroxysmal positional vertigo (BPPV). Methods: This is a retrospective study conducted at a single institution. 142 consecutive patients diagnosed with idiopathic BPPV at the Department of Otology in Shengjing Hospital of China Medical University between October 2016 and July 2017 were retrospectively reviewed. 127 patients were finally included in this study...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29609960/autoimmune-encephalitis-and-psychiatric-disorders
#12
REVIEW
J Honnorat, L O Plazat
Autoimmune encephalitis (AE) refers to a rare, newly described, group of diseases associated with specific circulating autoantibodies directed against neuronal proteins used as biomarkers of the disease. Characterization of the associated autoantibodies present in the patients' cerebrospinal fluid (CSF) and/or sera can differentiate the various AE subgroups, which have specific clinical presentations and prognoses, and is therefore essential for proposing appropriate treatments. As psychiatric symptoms may predominate at the onset or over the course of these diseases, the diagnosis is frequently delayed...
March 30, 2018: Revue Neurologique
https://www.readbyqxmd.com/read/29608126/gender-differences-in-the-prevalence-of-fibromyalgia-and-in-concomitant-medical-and-psychiatric-disorders-a-national-veterans-health-administration-study
#13
Caroline A Arout, Mehmet Sofuoglu, Lori A Bastian, Robert A Rosenheck
BACKGROUND: Fibromyalgia is a poorly understood, chronically disabling pain syndrome. While research has focused on its clinical presentation and treatment, less is known about fibromyalgia's clinical epidemiology in real-world healthcare systems. Gender differences have been difficult to study because relatively few males are diagnosed with fibromyalgia. METHODS: Veterans Health Administration (VHA) patients diagnosed with fibromyalgia nationwide in FY 2012 were compared to Veterans with other pain diagnoses on sociodemographic characteristics, medical and psychiatric diagnoses, health service use, and opioid and psychotropic prescription fills...
April 2, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29580225/psychotropic-medication-use-among-patients-with-celiac-disease
#14
Haley M Zylberberg, Jonas F Ludvigsson, Peter H R Green, Benjamin Lebwohl
BACKGROUND: Celiac disease is a multi-system disorder with manifestations that may result in psychiatric disorders. We assessed the prevalence of medication use to treat psychiatric disorders in celiac disease patients. METHODS: We conducted a cross-sectional study of patients undergoing esophagogastroduodenoscopy over 9-years at a celiac disease referral center. We compared the prevalence of psychotropic medication use among celiac disease patients (n = 1293) to a control group (n = 1401) with abdominal pain or reflux...
March 27, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29565628/-consensus-document-about-the-nutritional-evaluation-and-management-of-eating-disorders-anorexia-nervosa
#15
Carmen Gómez-Candela, Samara Palma Milla, Alberto Miján-de-la-Torre, Pilar Rodríguez Ortega, Viviana Loria Kohen, Rocío Campos Del Portillo, Ángela Martín-Palmero, M ª Nuria Virgili Casas, Miguel Á Martínez Olmos, M ª Teresa Mories Álvarez, M ª José Castro Alija, Ángela Martín-Palmero
Anorexia nervosa is the most common psychiatric disease among young women and it is assumed to be of multifactorial origin. Diagnostic criteria have recently been modified; therefore amenorrhea has ceased to be a part of them. This disease shows a large variability in its presentation and severity which conditions different therapeutic approaches and the need to individualize the treatment, thus it is indispensable a multidisciplinary approach. The goals are to restore nutritional status (through an individualized diet plan based on a healthy consumption pattern), treat complications and comorbidities, nutritional education (based on healthy eating and nutritional patterns), correction of compensatory behaviors and relapse prevention...
March 7, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29560072/emergency-department-frequent-users-for-acute-alcohol-intoxication
#16
Lauren R Klein, Marc L Martel, Brian E Driver, Mackenzie Reing, Jon B Cole
Introduction: A subset of frequent users of emergency services are those who use the emergency department (ED) for acute alcohol intoxication. This population and their ED encounters have not been previously described. Methods: This was a retrospective, observational, cohort study of patients presenting to the ED for acute alcohol intoxication between 2012 and 2016. We collected all data from the electronic medical record. Frequent users for alcohol intoxication were defined as those with greater than 20 visits for acute intoxication without additional medical chief complaints in the previous 12 months...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29557571/a-study-on-the-prevalence-of-depression-and-the-severity-of-depression-in-patients-of-chronic-obstructive-pulmonary-disease-in-a-semi-urban-indian-population
#17
Abhishekl Agarwal, Sakshi Batra, Rajendra Prasad, Anand Verma, Abdul Q Jilani, Surya Kant
Chronic obstructive pulmonary disease (COPD) is one of the few respiratory diseases which is associated with a number of comorbidities. Psychiatric disease like depression is a very important comorbidity of COPD because it decreases the feeling of wellbeing in the patient and also interferes with the compliance with medication thereby increasing the risk of hospitalization in the COPD patient. A cross-sectional study was done for two years in the department of pulmonary medicine at Era's Lucknow medical college and hospital, Lucknow...
March 19, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/29516993/bipolar-disorders
#18
REVIEW
Eduard Vieta, Michael Berk, Thomas G Schulze, André F Carvalho, Trisha Suppes, Joseph R Calabrese, Keming Gao, Kamilla W Miskowiak, Iria Grande
Bipolar disorders are chronic and recurrent disorders that affect >1% of the global population. Bipolar disorders are leading causes of disability in young people as they can lead to cognitive and functional impairment and increased mortality, particularly from suicide and cardiovascular disease. Psychiatric and nonpsychiatric medical comorbidities are common in patients and might also contribute to increased mortality. Bipolar disorders are some of the most heritable psychiatric disorders, although a model with gene-environment interactions is believed to best explain the aetiology...
March 8, 2018: Nature Reviews. Disease Primers
https://www.readbyqxmd.com/read/29514871/interindividual-differences-in-caffeine-metabolism-and-factors-driving-caffeine-consumption
#19
REVIEW
Astrid Nehlig
Most individuals adjust their caffeine intake according to the objective and subjective effects induced by the methylxanthine. However, to reach the desired effects, the quantity of caffeine consumed varies largely among individuals. It has been known for decades that the metabolism, clearance, and pharmacokinetics of caffeine is affected by many factors such as age, sex and hormones, liver disease, obesity, smoking, and diet. Caffeine also interacts with many medications. All these factors will be reviewed in the present document and discussed in light of the most recent data concerning the genetic variability affecting caffeine levels and effects at the pharmacokinetic and pharmacodynamic levels that both critically drive the level of caffeine consumption...
April 2018: Pharmacological Reviews
https://www.readbyqxmd.com/read/29508091/current-treatment-options-headache-related-to-menopause-diagnosis-and-management
#20
REVIEW
Clinton G Lauritsen, Abigail L Chua, Stephanie J Nahas
PURPOSE OF REVIEW: Menopause is a life-changing event in numerous ways. Many women with migraine hold hope that the transition to the climacteric state will coincide with a cessation or improvement of migraine. This assumption is based mainly on common lay perceptions as well as assertions from many in the healthcare community. Unfortunately, evidence suggests this is far from the rule. Many women turn to a general practitioner or a headache specialist for prognosis and management. A natural instinct is to manipulate the offending agent, but in some cases, this approach backfires, or the concern for adverse events outweighs the desire for a therapeutic trial, and other strategies must be pursued...
March 6, 2018: Current Treatment Options in Neurology
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