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https://www.readbyqxmd.com/read/27904101/probable-serotonin-syndrome-and-withdrawal-symptoms-caused-by-milnacipran
#1
Toru Koshiishi, Kiyoshi Okuyama
 A 70-year-old woman, residing in a nursing home, was admitted to our hospital because of cerebral hemorrhage. She had excessive sweating, a temperature above 37°C, and intermittent muscle spasm such as myoclonus, since the time of admission. We suspected that these symptoms were related to side effects caused by the milnacipran she was taking for depression, prior to hospitalization. After we discontinued milnacipran, the patient began exhibiting withdrawal symptoms such as excitement and insomnia. When we substituted milnacipran with mianserin, the withdrawal symptoms diminished and the excessive sweating and involuntary movement disappeared...
2016: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/27888962/involuntary-hospitalization-of-patients-with-mental-disorders-knowledge-of-health-professionals
#2
Carla Aparecida Arena Ventura, Marciana Fernandes Moll, Rubens Correia, Viviana Carolina Oyan de Moraes, Lucas Duarte Silva, Isabel Amélia Costa Mendes
A descriptive and exploratory study with a qualitative approach was undertaken to describe the knowledge of health professionals at a psychiatric hospital about involuntary hospitalization. Health professionals from the admission ward of a psychiatric hospital located in an inner city of the state of São Paulo, Brazil, participated in the study. Data were collected through semistructured interviews with sixteen health professionals and the analysis was based on thematic analysis. The professionals' lack of knowledge about involuntary hospitalizations was evidenced, including unfamiliarity with the modalities of psychiatric hospitalization, confusion to understand involuntary and compulsory hospitalization as well as the role of the public prosecutor in these cases...
December 2016: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/27846878/perceived-coercion-to-enter-treatment-among-involuntarily-and-voluntarily-admitted-patients-with-substance-use-disorders
#3
Anne Opsal, Øistein Kristensen, John Kåre Vederhus, Thomas Clausen
BACKGROUND: Perceived coercion is a sense of pressure related to the experience of being referred to treatment. The sense of pressure arises from the patient's internal perception of coercion. The sources of coercion may be the legal system, the family, the health system, or self-criticism (internal sources). Here, we studied patients diagnosed with substance use disorders that were involuntarily admitted to hospital, pursuant to a social services act. We sought to determine whether these patients perceived coercion differently than patients that were admitted voluntarily...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27833226/legal-terms-used-in-reception-order-and-their-relevance-to-judicial-process
#4
Nakkeerar Subramanian, Rajkumar Ramanathan, Venkatesh Madhan Kumar, Dhanabalan Kalingarayan Palayam Chellappan, Jeyaprakash Ramasamy
INTRODUCTION: Law governs the admission and management of involuntary admissions of mentally ill persons who are admitted under the provisions of the mental health act. The court directs the doctor to take charge of such persons. In the further dealings of such person the medical officer of the psychiatric facility comes across legal terms, which require understanding so that patients could be dealt with properly. Various terms such as accused, under police custody, judicial custody, remand prisoner, or under trial prisoner are used to denote their legal status...
September 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27785894/qualitative-exploration-of-stakeholders-perspectives-of-involuntary-admission-under-the-mental-health-act-2001-in-ireland
#5
Siobhán Smyth, Dympna Casey, Adeline Cooney, Agnes Higgins, David McGuinness, Emma Bainbridge, Mary Keys, Irina Georgieva, Liz Brosnan, Claire Beecher, Brian Hallahan, Colm McDonald, Kathy Murphy
There is international interest in, and continued concern about, the potential long-term impact of involuntary admission to psychiatric institutions, and the effect this coercive action has on a person's well-being and human rights. Involuntary detention in hospital remains a controversial process that involves stakeholders with competing concerns and who often describe negative experiences of the process, which can have long-lasting effects on the therapeutic relationship with service users. The aim of the present study was to explore the perspectives of key stakeholders involved in the involuntary admission and detention of people under the Mental Health Act 2001 in Ireland...
October 27, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27780495/information-for-mental-health-systems-an-instrument-for-policy-making-and-system-service-quality
#6
A Lora, A Lesage, S Pathare, I Levav
AIMS: Information is crucial in mental healthcare, yet it remains undervalued by stakeholders. Its absence undermines rationality in planning, makes it difficult to monitor service quality improvement, impedes accountability and human rights monitoring. For international organizations (e.g., WHO, OECD), information is indispensable for achieving better outcomes in mental health policies, services and programs. This article reviews the importance of developing system level information with reference to inputs, processes and outputs, analyzes available tools for collecting and summarizing information, highlights the various goals of information gathering, discusses implementation issues and charts the way forward...
October 26, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27698701/alien-hand-syndrome-following-corpus-callosum-infarction-a-case-report-and-review-of-the-literature
#7
Xiaoyu Gao, Bing Li, Wenzheng Chu, Xuwen Sun, Chunjuan Sun
Alien hand syndrome (AHS) is characterized by involuntary and autonomous activity of the affected limbs, and consists of the frontal, callosal and posterior AHS variants. The callosal subtype, resulting from damage to the corpus callosum, frequently features intermanual conflict. However, infarction of the corpus callosum is rare due to abundant blood supply. The present study reported a case of AHS (callosal subtype, in the right hand) caused by callosal infarction. Infarction of the left corpus callosum was confirmed with magnetic resonance imaging...
October 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27693867/patterns-of-antipsychotics-prescription-in-portuguese-acute-psychiatric-wards-a-cross-sectional-study
#8
João Campos Mendes, Sofia Azeredo-Lopes, Graça Cardoso
This study aimed to establish the prescribing patterns of antipsychotics in acute psychiatric wards across Portugal, to determine the prevalence of polypharmacy and "high-doses" treatment, and to identify possible predictors. Twelve acute psychiatric inpatient units and 272 patients were included. The majority (87.5%) was treated with antipsychotics regardless of diagnosis, and 41.6% had at least two antipsychotics prescribed in combination. Age, use of depot antipsychotics, and antipsychotic "high-doses" were significant predictors of antipsychotic polypharmacy...
September 22, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27624838/challenges-following-discharge-from-acute-psychiatric-inpatient-care-in-japan-patients-perspectives
#9
J Niimura, M Tanoue, M Nakanishi
: WHAT IS KNOWN ON THE SUBJECT?: A lack of transitional care covering the period from psychiatric hospital discharge to community mental health care can increase the likelihood of illness recurrence or readmission of discharged patients. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: The participants expressed the view that discontinuity between inpatient and community life was a post-discharge challenge after being involuntarily admitted to a psychiatric emergency ward. These challenges arose from the dissatisfaction with inpatient treatment, inability to coordinate post-discharge life WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Patients should be able to disclose their feelings about their own experiences in inpatient care settings and the current challenges in community care settings in an open manner...
September 14, 2016: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/27600381/factors-influencing-patients-recovery-and-the-efficacy-of-a-psychosocial-post-discharge-intervention-post-hoc-analysis-of-a-randomized-controlled-trial
#10
Michael P Hengartner, Silvia Passalacqua, Gisela Heim, Andreas Andreae, Wulf Rössler, Agnes von Wyl
PURPOSE: The aim of this post hoc analysis was to examine self-reported recovery following a post-discharge intervention and to focus on the moderators of this intervention programme. METHODS: RCT using parallel group block randomisation, including 151 patients with ≤3 hospitalisations within the last 3 years, a GAF score ≤60, and aged 18-64 years, assessed at two psychiatric hospitals from Zurich, Switzerland, between September 2011 and February 2014. In the present study, the main outcome was the OQ-45 as assessed prior to discharge from the index hospitalisation and at 12-month follow-up...
December 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/27593992/how-far-to-investigate-presumed-psychosomatic-symptoms-lessons-from-a-particular-case%C3%A2
#11
Marie Angélique De Scheerder, Sylvie Rottey, An Mariman, Marleen Praet, Dirk Vogelaers
We describe a 43-year-old patient with subacute appearance of neurological and atypical complaints of anergia, anorexia and weight loss six months earlier. In spite of several admissions in different hospitals, no underlying somatic cause could be found and he was admitted to a psychiatric hospital with a tentative diagnosis of major depressive disorder. Subsequently, he was referred to the unit of medically unexplained physical symptoms within the department of general internal medicine for assessment by the psychiatrist, involved in this programme...
September 2, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27588250/neurotransmitters-in-hiccups
#12
REVIEW
Fauzia Nausheen, Hina Mohsin, Shaheen E Lakhan
Hiccups are the sudden involuntary contractions of the diaphragm and intercostal muscles. They are generally benign and self-limited, however, in some cases they are chronic and debilitating. There are approximately 4000 admissions for hiccups each year in the United States. The hiccup reflex arc is composed of three components: (1) an afferent limb including the phrenic, vagus, and sympathetic nerves, (2) the central processing unit in the midbrain, and (3) the efferent limb carrying motor fibers to the diaphragm and intercostal muscles...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27551753/involuntary-admissions-in-italy-the-impact-of-seasonality
#13
Andrea Aguglia, Marta Moncalvo, Francesca Solia, Giuseppe Maina
OBJECTIVE: The aim of this study is to assess the prevalence of involuntary admissions with regard to seasonality and clinical associated features, in a sample of patients admitted to a psychiatric unit in a period of 24 months. METHODS: All subjects consecutively admitted to the Psychiatric Inpatient Unit of the San Luigi Gonzaga Hospital, Orbassano (University of Turin, Italy) from September 2013 to August 2015 were recruited. Socio-demographic and clinical characteristics were collected...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27520558/quality-criteria-of-involuntary-psychiatric-admissions-before-and-after-the-revision-of-the-civil-code-in-switzerland
#14
Isabelle Kieber-Ospelt, Anastasia Theodoridou, Paul Hoff, Wolfram Kawohl, Erich Seifritz, Matthias Jaeger
BACKGROUND: The goal was to investigate the quality in terms of formal and content-based comprehensiveness of the forms for involuntary admission before and after the introduction of the new law (KESR, "Kindes- und Erwachsenenschutzrecht") for the regulation of involuntary admission. Moreover, the study aimed at assessing if the quality of the admission forms was associated with the professional qualifications of the professionals ordering them. Finally, the patients were characterized...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27487160/ethnic-differences-in-mental-illness-severity-a-population-based-study-of-chinese-and-south-asian-patients-in-ontario-canada
#15
Maria Chiu, Michael Lebenbaum, Alice M Newman, Juveria Zaheer, Paul Kurdyak
OBJECTIVE: Little is known about the sociocultural determinants of mental illness at hospital presentation. Our objective was to examine ethnic differences in illness severity at hospital admission among Chinese, South Asian, and the general population living in Ontario, Canada. METHODS: We conducted a large, population-based, cross-sectional study of psychiatric inpatients aged from 19 to 105 years who were discharged between 2006 and 2014. A total of 133,588 patients were classified as Chinese (n = 2,582), South Asian (n = 2,452), or the reference group (n = 128,554) using a validated surnames algorithm (specificity: 99...
August 2, 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27476807/association-between-restriction-of-involuntary-medication-and-frequency-of-coercive-measures-and-violent-incidents
#16
Erich Flammer, Tilman Steinert
OBJECTIVE: In the German federal state of Baden-Wuerttemberg, involuntary medication of psychiatric inpatients was illegal during eight months from July 2012 until February 2013. The authors examined whether the number and duration of mechanical coercive measures (seclusion and restraint) and the number and severity of violent incidents changed in this period. METHODS: A cross-sectional analysis was conducted of admission-related routine data collected in seven psychiatric hospitals in three time periods (period 1, July 2011-February 2012; period 2, July 2012-February 2013; and period 3, July 2013-February 2014)...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27470606/paraneoplastic-neuropsychiatric-syndrome-presenting-as-delirium
#17
Gloria Roldan Urgoiti, Aynharan Sinnarajah, Seema Hussain, Desiree Hao
Delirium in patients with cancer is associated with poor outcomes, but reversible causes need to be ruled out. We report the case of a 59-year-old woman who was presented with behavioural and cognitive changes over 2 weeks. She was non-verbal and combative, requiring involuntary admission and declaration of incompetence to make healthcare treatment decisions. Infectious and metabolic investigations and initial brain imaging were unremarkable. She was diagnosed with limited-stage small cell lung cancer and a paraneoplastic neuropsychiatric syndrome...
July 28, 2016: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/27463219/extrapontine-myelinolysis-associated-with-severe-hypernatremia-in-infancy
#18
Ryoji Aoki, Tetsuji Morimoto, Yuno Takahashi, Hiroshi Saito, Tatsuo Fuchigami, Shori Takahashi
Extrapontine myelinolysis (EPM) is an uncommon disorder in children, with few pediatric cases reported to date. We report the first case of an infant with EPM without central pontine myelinolysis (CPM) presenting with severe hypernatremia. On admission, the infant had impaired consciousness, mild dehydration, and severe hypernatremia (190 mmol/L). The following day, the patient developed abnormal involuntary movements. Brain magnetic resonance imaging (MRI) confirmed EPM without CPM. He recovered without sequelae, and clinical examinations were within normal limits approximately 6 months after discharge...
September 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27426407/challenges-in-obtaining-hiv-testing-in-an-acute-involuntary-inpatient-psychiatric-setting
#19
Jennifer Weller, Gwen Levitt, Robert Myers, Aaron Riley, Celsius-Kit Gesmundo
Even in health care professions, a stigma remains for patients with co-occurring HIV and serious mental illness. Researchers at a large, urban medical center encountered this stigma when they attempted to initiate a study of cognition in psychiatric inpatients with and without HIV who were seen as vulnerable in the context of research. Education efforts and advocacy on the part of the research team was instrumental and resulted in system-wide changes in the hospital, including the addition of HIV testing to the psychiatric admission laboratory panel...
September 2016: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/27411986/changing-patient-perspectives-after-compulsory-admission-and-the-risk-of-re-admission-during-5-years-of-follow-up-the-amsterdam-study-of-acute-psychiatry-ix
#20
Kim Setkowski, Louk Fm van der Post, Jaap Peen, Jack Jm Dekker
OBJECTIVE: Given increasing numbers of compulsory admissions, it is important to assess patient risk profiles and identify factors that are appropriate for intervention. METHODS: A sample of 116 patients who were compulsorily admitted was studied. Socio-demographic and clinical characteristics were recorded. Patients were interviewed twice using the Verona Service Satisfaction Scale and the Birchwood Insight Scale. Changes in insight and satisfaction during 2 years were linked to the incidence of involuntary re-admissions in the next three follow-up years...
September 2016: International Journal of Social Psychiatry
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