Monthly Archives: May 2013

in flight medical emergencies

Commercial airlines serve approximately 2.75 billion passengers worldwide annually. When in-flight medical emergencies occur, access to care is limited. Physicians and other medical professionals are often called on to assist when traveling, despite limited training or experience with these situations.1 Airlines partner with health care institutions to deliver real-time medical advice from an emergency call center […]

Alzheimer’s Disease: Imaging Key to Early Treatment

  By Charlene Laino, Senior Writer, Gupta Guide Published: May 28, 2013 Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner Action Points Increased accumulation of beta-amyloid in the brain is associated with gray matter atrophy and memory impairment in cognitively healthy older people. […]

syncope

Back    Syncope Lyall A. J. Higginson last modified in November 2012 In this topic Syncope • Pathophysiology • Etiology • Evaluation • Treatment • Geriatrics Essentials • Key Points AudioSyncope: A Merck Manual of Patient Symptoms podcast Syncope is a sudden, brief loss of consciousness (LOC) with loss of postural tone followed by spontaneous revival. The patient is motionless and limp […]

prayers

Prayer, spirituality gets the doctors’ nod Tuesday, May 21, 2013 New Delhi: Hardly anyone doubts the power of prayer and almost everyone has a turnaround tale — maybe personal, or of someone else’s — that credits the “miracle” to a prayer. Now while science and spirituality may not always see eye-to-eye, holistic treatment is now […]

drug treatment of depression

Pharmacologic Therapy for Depression Drugs used for treatment of depression include the following: Selective serotonin reuptake inhibitors (SSRIs) Serotonin/norepinephrine reuptake inhibitors (SNRIs) Atypical antidepressants Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs) St. John’s wort Selective serotonin reuptake inhibitors SSRIs include the following: Citalopram (Celexa) Escitalopram (Lexapro) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) Vilazodone […]

meta analysis of drug treatment of depression

Get PDF (70K) Keywords: teratogenicity; congenital malformations; antidepressants; SSRIs; SNRIs; pregnancy; clinical toxicology Abstract Background A substantial number of women of childbearing age suffer from depression. Despite this, relatively little is known about the safety of antidepressant use during pregnancy. Purpose We conducted a meta-analysis of prospective comparative cohort studies to quantify the relationship between […]

Psychiatrists Can Do What No Other Medical Specialists Can Do

Anti-Coercion Is Not Anti-Psychiatry MAY 01, 2008 by THOMAS S. SZASZ The term “anti-psychiatry” was created in 1967 by the South African psychiatrist David Cooper (1931–1986) and the Scottish psychiatrist Ronald David Laing (1927–1989). Instead of defining the term, they identified it as follows: “We have had many pipe-dreams about the ideal psychiatric, or rather anti-psychiatric, […]

Why Psychiatry Should Be Abolished as a Medical Specialty

by Lawrence Stevens, J.D. Psychiatry should be abolished as a medical specialty because medical school education is not needed nor even helpful for doing counselling or so-called psychotherapy, because the perception of mental illness as a biological entity is mistaken, because psychiatry’s “treatments” other than counselling or psychotherapy (primarily drugs and electroshock) hurt rather than help […]

The Case Against Psychotherapy

The Case Against Psychotherapy by Lawrence Stevens, J.D. “What we need are more kindly friends and fewer professionals.” – Jeffrey Masson, Ph.D., his book Against Therapy (Atheneum, 1988, p. XV) The best person to talk with about your problems in life usually is a good friend.  It has been said, “Therapists are expensive friends.”  Likewise, friends are inexpensive “therapists”.  […]

antipsychiatry

Controversy has often surrounded psychiatry,[1] and the anti-psychiatry message is that psychiatric treatments are ultimately more damaging than helpful to patients. Psychiatry is thought by some to be a benign medical practice, but at times is seen as a coercive instrument of oppression. Psychiatry is seen to involve an unequal power relationship between doctor and patient, and a highly subjective diagnostic […]

suicidal patient.what to do

A health care practitioner who foresees the likelihood of suicide in a patient is, in most jurisdictions, required to inform an empowered agency to intervene. Failure to do so can result in criminal and civil actions. Such patients should not be left alone until they are in a secure environment. They should be transported to […]

the bond between medical students and their cadavers

A letter from a medical student at the end of her gross anatomy course. Dearest Walter, The time we’ve spent together over the past few months has been wonderful, but I’m afraid it must come to an end.  We knew this day would come.  I must move on with my life, and you must move […]

1.) Resistant hypertension

At the annual ASH meeting, 2 difficult therapeutic scenarios in hypertension were updated. The treatment of resistant hypertensives and the management of ACEI/ARB-induced hyperkalemia were reviewed.  Important innovations are summarized here: 1.) Resistant hypertension (a blood pressure not at target despite a 3 drug regimen that includes a diuretic) is on the rise. From 1988 […]

how to treat depression in pregnancy

Pregnancy is supposed to be one of the happiest times of a woman’s life, but for many women this is a time of confusion, fear, sadness, stress, and even depression. According to The American Congress of Obstetricians and Gynecologists ( ACOG), between 14-23% of women will struggle with some symptoms of depression in pregnancy. Depression […]

Do Not Ignore a Headache

By Shefali Sabharanjak, PhD | 6 Comments | Share | Print | Email | Tweet | Like | 1+ A thunderclap headache. Post-partum cerebral angiopathy. Sub-arachnoid hemorrhagic headache. Posterior reversible encephalopathy. Primary and benign angiopathies of the central nervous system. Call-Fleming syndrome. I am not throwing the dictionary at you. These are all sudden onset headaches resulting from changes in the flow of blood in cerebral arteries. Recent opinion tends […]

exercises for depression

Exercise for Depression – A Gold Standard Therapy By Cristiano Batista, PhD | 3 Comments | Share | Print | Email | Tweet | Like | 1+ Depression has become a common medical issue worldwide. Conventional treatments, generally, have not been effective in preventing recurrence of this condition. SSRIs can take months to provide a beneficial effect. Adverse side effects of antidepressant medications are a further concern, based on individual physical and […]

psychiatry as a subject in mbbs

VISAKHAPATNAM: The Medical Council of India (MCI) now plans to include a question paper on psychiatry for all MBBS students, said vice-chancellor of NTR University of Health Sciences I V Rao at the annual conference of the Indian Association of Private Psychiatrists, (Andhra Pradesh chapter) held in the city for the first time. “At present […]

famous people with bpd

Famous people with mental illnesses have always intrigued those of us who also have a mental illness. It’s interesting to find out which celebrities have our particular mental disorder, and maybe even to compare ourselves to them. There are a few famous people with Borderline Personality Disorder; the most famous one being Princess Diana. The […]

Famous People with Mood Disorders

  By Disabled World – 2008-01-14 Mood disorders what it is and a list of famous people who suffer and have suffered from various forms of mood disorders. * * * What are Mood Disorders? A mood disorder is a condition whereby the prevailing emotional mood is distorted or inappropriate to the circumstances. The two major types […]

Experts in palliative care differ on whether or not patients who are terminally ill should be informed that they are dying.

A debate, published online April 24 in BMJ, reflects the latest thinking on both sides of the issue. On the yes side are Emily Collis, MD, a consultant in palliative medicine at Pembridge Palliative Care Centre, St. Charles’ Hospital, and Katherine E. Sleeman, MD, PhD, from the Cicely Saunders Institute, King’s College, both in London, […]