Author Archives: deemagclinic
The Electroencephalogram in the Management of Psychiatric Condition
By Nash N. Boutros, MD The Electroencephalogram in the Management of Psychiatric Conditions The electroencephalogram (EEG) has a limited but definitive role in understanding and managing psychiatric conditions. When the presentation is unusual, a neurological workup that includes an EEG is essential. In conditions in which EEG abnormalities are demonstrably common, an […]
Ketamine antidepressant effect
Ketamine, an injectable anesthetic that has been shown to exert a rapid but short-lived antidepressant effect, may reduce suicidal ideation independently of a reduction in depressive symptoms, new research suggests. Investigators at the National Institute of Mental Health in Bethesda, Maryland, distinguished the relationship of ketamine to reduced suicidal thoughts from its effect on depression […]
How essential is morality to health care practice?
Medicine – Still a Noble profession? COUNTER POINT DR FIAZ FAZILI SmallerDefaultLarger Over centuries, the Medical fraternity has maintained the ethical standards. Their magnificent contributions and landmark discoveries in medical sciences and innovations in diagnostic and therapeutic techniques have revolutionized patient care, saved countless lives, and significantly improved longevity and the quality of human […]
Violence Among Mentally Ill People
Experts Discuss Factors That May Lead to Violence Among Mentally Ill People Aaron Levin While researchers are beginning to understand more about factors linking violence and mental illness, much more research needs to be done to identify individuals at risk. For years, substance use has been known as a key factor mediating the intersection of […]
Robin Williams
Millions of people worldwide have been rocked by the recent and very sad death of Robin Williams. Although suicide is part of our daily work as clinicians, we are mostly focused on assessing our patients for suicide risk, exploring suicide thoughts and planning, and treating the cognitive patterns directly or the underlying psychiatric illnesses. In […]
mindfulness
What do a 2,500 year-old monk and a modern-day ninth-generation military woman have in common? Besides some common thread of humanity, on the surface it may not seem like much. Like the military, mindfulness has a deep-seated history. Rooted in Buddhist psychology, mindfulness made its way into modern-day American society in various forms in the […]
Psychotherapy in the Bhagavad Gita, the Hindu Scriptural Text
Ananda K. Pandurangi, M.D.; Sudhakar Shenoy, M.B.B.S.; Matcheri S. Keshavan, M.D. View Large Download Slide (.ppt) Add to My POL Gitopadesha (Teaching of the Gita): Krishna, the god (charioteer, in blue), with his right hand raised in the teaching gesture (Jnana Mudra) and Arjuna (prince, in green) in the battle of the Mahabharatha. Gouache painting […]
Pomegranate Compound Could Stem Alzheimer’s
Keywords: Microglia; Neuroinflammation; NF-κB; Pomegranate; Punicalagin Scope In this study, the effects of punicalagin on neuroinflammation in LPS-activated microglia were investigated. Methods and results The ability of punicalagin to reduce the production of TNF-α, IL-6 and prostaglandin E2 was measured in culture medium using enzyme immunoassay. TNF-α and IL-6 gene expression in mouse hippocampal slices […]
The Reasons Physicians Fail to Build Wealth
f you have physician clients or family or friends, you’re in on a dirty little secret: physicians’ high incomes do not reliably translate to high net worth. Practicing physicians earn top dollars. In fact, according to the U.S.Bureau of Labor Statistics, nine of the top ten earners in the U.S. call themselves “doctor.” Indirect evidence […]
Personal Observations on the Changing Scene In American Medicine: 1955 to 2010
Clifton K. Meador, M.D. When I entered private practice in 1962 (after graduating from medical school in 1955, completing a medical residency, serving two years in the Army Medical Corps, and completing a NIH Fellowship in Endocrinology), there was no Medicare, no Medicaid, and very little medical insurance of any kind. Patients paid cash, […]
Hyposkillia , Deficiency of Clinical Skills
Hyposkillia Deficiency of Clinical Skills Herbert L. Fred, MD, MACP Author information ► Copyright and License information ► This article has been cited by other articles in PMC. The medical profession today faces many problems. We march to bureaucratic drummers, we have lost our autonomy, our prestige has spiraled downward, and our professionalism is sagging.1,2 […]
cap on doctors’ fee
A proposal in the Rajya Sabha to put a cap on doctors’ fee has created uproar in the medical fraternity. The Indian Medical Association (IMA) has already decided to go to the court, even as patient bodies and activists hail the move. The proposal titled ‘Regularization of Doctors’ Fees’ was put forward by Congress leader […]
A HEARTLESS PROFESSION?
Indian American cardiologist Sandeep Jauhar‘s book has caused quite a few blood vessels to pop with its lacerating look at the practice of medicine in US It is the Holy Grail for almost every Indian parent: that their son andor daughter go to medical college, become doctors, and embark on a thriving career that brings […]
suicide tourists “
The number of people traveling to Switzerland to commit suicide has doubled since 2009, a new study shows. These suicide tourists ” are largely from Germany and the United Kingdom, although they also come from other countries including the United States and Canada, and nearly half suffer from nonfatal neurological conditions, such as paralysis, motor […]
Dr. Reinstein’s
A Chicago psychiatrist faces $2 billion in penalties after the United States filed a civil health care fraud lawsuit against him Thursday, claiming he took kickbacks from drug companies and submitted at least 140,000 false Medicare and Medicaid claims for antipsychotic medications he prescribed to thousands of mentally ill patients in area nursing homes. Michael […]
Illinois suspends license of controversial psychiatrist
Illinois medical board suspends license of Chicago psychiatrist in clozapine case Illinois agency suspends Chicago psychiatrist’s license, citing illegal payments from drugmaker For years, Dr. Michael Reinstein was a prolific prescriber of a dangerous antipsychotic drug in nursing homes and mental health facilities, giving it to more than 50 percent of the patients under his […]
female foeticide
Many years ago the Pathan gangs, were at their heights of power in the Mumbai under world , communism was at its peak and the Bolly wood they controlled depicted the business men of India as greedy, corrupt and smugglers while the Pathans and Kabuliwala were shown with high esteem.Erroneously offcoarce! How time changes and […]
generics
Sir, The press has gone hammer and tong aginst doctors.The basicassumption is the erroneous guideline of MCI which statesthat the Doctors must as far as possible write only genericbrands,.Technically all the medicines in india or most ofthem are generic as they are not made by patent holders andare therefore cheap.Still some of them are manufactured […]
clinical establishment act
The Government of USA enforced certain public health laws in USA because of the general consensus among the population is USA was that Doctors were bad and fleecing patient and then dumping them.In short doctors in USA were seen to be not doing there duties.Offcoarce this had to do something with the econnomic slump and […]
CLINICAL ESTABLISHMENTS ACT (CEA)
The Centre’s ambitious plan to have an umbrella regulatory body for medical and paramedical education hit a roadblock as the Parliamentary Standing Committee on Health rejected the National Commission for Human Resources for Health (NCHRH) Bill, 2011. As retribution to it the center wanted to implement the CLINICAL ESTABLISHMENTS ACT (CEA) which was introduced as […]
IMA Objections to CEA draft standards
Executive Summary Clinical Establishment Act 2010 and Rules 2012 DEMANDS An independent authority rather than the Government, should be the regulator. Accreditation and not licensing should be the process of registration. All Treatment protocols of WHO, international and national professional associations should be accepted. Government should refrain from framing protocols. Fixing of fees and charges […]
clinical establishment act 2012
Many years ago I received a phone call from CMO Dehradun to immediately stop hospitalisation of psychiatric patient in my nursing home or i will have a case on my hand.The mental health act though passed in 1987 was begun to be enforced somewhere in 2000 .This bill was similar in nature to clinical establishment […]
Quotes – Psychiatry, Psychiatrists, Mental Health
“If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is play; and Z is keeping your mouth shut.” – Albert Einstein Die with memories, not dreams. – Anonymous There are thousands and thousands of people out there living lives of quiet, screaming desperation who […]
How Psychotherapy Changes the Brain
By Serina Deen, MDMPH When I first see patients for evaluation, they often tell me that they’ve debated starting a “biological” treatment such as medication, versus a “psychological” treatment such as psychotherapy. I’m happy to report that as brain imaging technology advances, we’re finding that this distinction may be obsolete. Psychotherapy is also “biological” in […]
Teach Teens and (Yourself!) how to W.A.I.T
By Tristan Gorrindo, M.D. By now, over 80 percent of teens have an account with Facebook, Twitter, or some other social networking site. A common feature on almost all of these sites is the ability to share with your friends whatever is on your mind. Commonly these posts appear on a “wall” or other profile […]
What to expect for your first visit with your psychiatrist
By David Goldsmith, M.D., & Arshya Vahabzadeh, M.D. Follow @VahabzadehMD Resident Psychiatrists, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine Your Psychiatrist’s Training A psychiatrist is a physician who is specially trained to diagnose and treat people who are experiencing a wide range of issues, from emotional distress to more severe mental health concerns. […]
vitamin D deficiencies & Alzheimer’s disease
People with moderate-to-severe vitamin D deficiencies are significantly more likely to develop Alzheimer’s disease or other forms of dementia than those who have an adequate supply of the vitamin in their body, a new study has found. Researchers, led by David J. Llewellyn at the University of Exeter Medical School, found that adults who suffered […]
dr.pk gupta’s invitation is awaiting your response
dr.pk gupta would like to connect on LinkedIn. How would you like to respond? dr.pk gupta consultant in neuropsychiatry and epileptology at deemag clinic Confirm you know dr.pk You are receiving Reminder emails for pending invitations. Unsubscribe © 2014, LinkedIn Corporation. 2029 Stierlin Ct. Mountain View, CA 94043, USA
The Long-Term Effects of Conventional and Atypical Antipsychotics in Patients With Probable Alzheimer’s Disease
his large longitudinal observational study revealed that a higher proportion of patients exposed to antipsychotic medications, especially conventional antipsychotics, were admitted to a nursing home or died compared with those who never took these medications. However, in time-dependent statistical models, these associations were no longer present after we adjusted for the symptoms for which the […]
EMTALA
What is EMTALA? The Emergency Medical Treatment and Active Labor Act is a statute which governs when and how a patient may be (1) refused treatment or (2) transferred from one hospital to another when he is in an unstable medical condition. EMTALA was passed as part of the Consolidated Omnibus Budget Reconciliation Act of […]
SHOULD ALL PSYCHIATRISTS CARRY GUNS?
Posted on July 26, 2014by artsmuklermd “Yo Dumplin. I’m home,” I called, swaggering into our ranch house. I swaggered because my sidearm, a Colt 45, weighed heavy on my right hip and made me walk funny. “My hero,” Dumplin said, smiling, and dressed in a black bustier and long white skirt. “100,000 followers tweeted that […]
difference between inpatient and day clinic therapy for depression
In a pilot study, German researchers investigated whether inpatient treatment of depression is more successful than treatment in a day clinic. However, no significant differences were found, they report in “Psychotherapy and Psychosomatics”. The study, carried out by the University of Heidelberg, involved 44 patients with major symptoms of depression. They were randomised to […]
(LFMS)
Current treatment options for depression, including drugs and brain stimulation procedures such as electroconvulsive therapy (ECT) or transcranial magnetic stimulation (TMS) are effective but some time is needed before their effect kicks in. US researchers have now discovered that low field magnetic stimulation (LFMS) is just as effective and improves symptoms immediately. Scientists from Harvard […]
preschool depression
The study findings demonstrate that preschool depression was a significant and robust predictor of meeting full DSM-5 criteria for major depressive disorder in later childhood and early adolescence (i.e., at ages 6–13). The predictive power of preschool depression for school-age depression remained strong and undiminished even when other key environmental and familial risk factors were […]
lithium and pregnancy
In this prospective, observational comparative cohort study, 183 lithium-exposed pregnancies were followed up by the Israeli Teratology Information Service. First-trimester lithium exposure was associated with an increased risk (adjusted odds ratio=4.75 [95% CI=1.11–20.36]) of cardiovascular anomalies compared with nonteratogenic exposure. However, there were results that fell short of statistical significance for higher overall risk of […]
The Art and Science of Flirting
Samantha Boardman MD Become a fanPsychiatrist, Writer and Blogger http://www.PositivePrescription.com Print Article Knowing how to flirt is both an art and a science. A slew of research provides a convenient road map to what works best and what doesn’t: 1. Skip the cheesy jokes: According to research, both men and women react poorly to silly jokes, hollow compliments, […]
Evaluation of the radioprotective effect of bael leaf (Aegle marmelos) extract in mice.
Jagetia GC1, Venkatesh P, Baliga MS. Author information Abstract PURPOSE: To investigate the radioprotective activity of a leaf extract of bael leaf (Aegle marmelos) (AME) in mice exposed to different doses of gamma-radiation. MATERIALS AND METHODS: The acute toxicity of AME was evaluated in Swiss albino male mice administered various intraperitoneal single doses of AME. […]
long waits for medical consults
ONE small consolation of our high-priced health care system — our $2.7 trillion collective medical bill — has been the notion that at least we get medical attention quickly. Americans look down on national health systems like Canada’s and Britain’s because of their notorious waiting lists. In recent weeks, the Veterans Affairs hospitals have been […]
Dual reuptake inhibitors incur lower rates of tachyphylaxis than selective serotonin reuptake inhibitors: a retrospective study.
BACKGROUND: The notion that selective serotonin reuptake inhibitors (SSRIs) may be associated with higher relapse rates than other antidepressants during maintenance treatment (tachyphylaxis) has been discussed for years, but to date there is little or no empirical evidence confirming this phenomenon. In this study, we systematically assessed prior anti-depressant treatment history in a cohort of depressed patients […]
Evidence-Based Treatments of Addiction
Charles P. O’Brien FOCUS 2011;9:107-117. Both pharmacotherapy and behavioural treatment are required to relieve the symptoms of addictive disorders. This paper reviews the evidence for the benefits of pharmacotherapy and discusses mechanisms where possible. Animal models of addiction have led to some medications that are effective in reducing symptoms and improving function but they […]
Association of Western and Traditional Diets With Depression and Anxiety in Women
In this cross-sectional population-based study examining the association between diet and the high-prevalence mental disorders, the hypothesized association between habitual diet quality and these disorders was largely supported by the data. A dietary pattern comprising vegetables, fruit, beef, lamb, fish, and whole-grain foods (traditional) was associated with a lower likelihood of depressive and anxiety disorders, […]
Diet’s Relationship to Brain Health Provides Much Food for Thought
Clinical and Research News September 18, 2009 Jun Yan New research evidence supports a beneficial effect of a Mediterranean type of diet on preventing cognitive decline and Alzheimer’s disease in older adults, according to two studies published in the August 12 Journal of the American Medical Association. A diet low in meat and poultry and high […]
Prenatal Exposure to Antidepressants Shows No Cardiac-associated Risk in Offspring, Study Finds
New research shows that antidepressant pharmacotherapy does not appear to pose a risk for cardiac defects in infants born to women taking the medicines during the first trimester of pregnancy—including those that are contraindicated for pregnant women. A research team led by Krista Huybrechts, Ph.D., of Harvard Medical School conducted a large-scalestudy with nearly 950,000 pregnant […]
quetiapine and BPD
Quetiapine Appears Effective in Treatment of Borderline Personality Disorder, Study Finds A new study, “Comparison of Low and Moderate Dosages of Extended-Release Quetiapine in Borderline Personality Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial,” in AJP in Advance provides evidence for the antipsychotic quetiapine’s use as a potential therapy for borderline personality disorder (BPD). A research team led by Donald […]
calming angry customers
बड़े अक्षरों उसके मुंह से बाहर आने के साथ चिल्ला नाराज व्यक्ति की cartton यह गुस्सा ग्राहकों को शांत करने के लिए आता है, अपने एजेंट से भाषा की एक कुशल उपयोग बहुत महत्वपूर्ण हो सकता है. यहाँ, हम शब्दों और स्थिति को शांत और एक पारस्परिक रूप से सहमत सुलह के बारे […]
Training Medical Practice Staff to Deal with Angry Patients
By P.J. Cloud-Moulds A few weeks ago, a billing staff member was subjected to a particularly difficult and demanding patient phone call. The patient took 40 minutes of her time insisting that billing was done incorrectly, which it was not, and was just really very rude. I decided subsequent calls would never last this long, and […]
AGEING
We age in two ways. There is the ageing we count by clock and calendar. And then there is biological ageing. The latter is written into our genes. But, it is also influenced by our lifestyle and history. And while we cannot stop time ticking by, there may be ways to test for our biological […]
mind-boggling-psychiatric-treatments
Nobody ever claimed a visit to the doctor was a pleasant way to pass the time. But if you’re timid about diving onto a psychiatrist’s couch or paranoid about popping pills, remember: It could be worse. Like getting-a-hole-drilled-into-your-skull worse. Or having-a-doctor-infect-you-with-malaria-to-cure-you worse. Think of it this way. After finding out what’s not going to happen […]
deemagclinic
