Objective To assess physicians’ attitudes toward and perceived role in addressing health care costs. Design, Setting, and Participants A cross-sectional survey mailed in 2012 to 3897 US physicians randomly selected from the AMA Masterfile. Main Outcomes and Measures Enthusiasm for 17 cost-containment strategies and agreement with an 11-measure cost-consciousness scale. Results A total of 2556 […]

Importance Many medical procedures aimed at helping children cause them pain and distress, which can have long-lasting negative effects. Music is a form of distraction that may alleviate some of the pain and distress experienced by children while undergoing medical procedures. Objective To compare music with standard care to manage pain and distress. Design, Setting, […]

How has the human brain evolved over the years? —Emma Schachner, Salt Lake City John Hawks, a professor of anthropologyat the University of Wisconsin–Madison, answers: Humans are known for sporting big brains. On average, the size of primates’ brains is nearly double what is expected for mammals of the same body size. Across nearly seven million years, the […]

One common complaint about psychiatry is its subjective nature: it lacks definitive tests for many diseases. So the idea of diagnosing disorders using only brain scans holds great appeal. A paper published recently in PLOS ONE describes such a system, although it was presented only as an initial proof of concept. News reports, however, trumpeted the advent […]

The incidence of herpes zoster increases with age. Management includes antiviral therapy (recommended in persons with or at increased risk for complications, immunocompromised persons, those ≥50 years of age, and those with severe pain or severe rash) and pain medications. The newest article in our Clinical Practice series comes from Dr. Jeffrey Cohen of the […]

MINISTRY OF ENVIRONMENT & FORESTS NOTIFICATION New Delhi, 20th July, 1998 S.O. 630 (E).-Whereas a notification in exercise of the powers conferred by Sections 6, 8 and 25 of the Environment (Protection) Act, 1986 (29 of 1986) was published in the Gazette vide S.O. 746 (E) dated 16 October, 1997 inviting objections from the public […]

114 Comments Doctors Badmouthing Other Doctors By PAULINE W. CHEN, M.D. Tetra Images/Getty Images FACEBOOK TWITTER GOOGLE+ SAVE E-MAIL SHARE PRINT DOCTOR AND PATIENT Dr. Pauline Chen on medical care. A physician friend known for her conscientious work recently disclosed that a year ago she was named in a malpractice lawsuit. The revelation rattled me not […]

PWD ACT, 1995 THE PERSONS WITH DISABILITIES (EQUAL OPPORTUNITIES, PROTECTION OF RIGHTS AND FULL PARTICIPATION) ACT, 1995 PUBLISHED IN PART II, SECTION 1 OF THE EXTRAORDINARY GAZETTE OF INDIA                New Delhi, the 1st January, 1996/Pausa 11, 1917 (Saka) The following Act of Parliament […]

IT was an interesting and funny case which came to my clinic today. A Hindu patient named(changed) vikram who was had  an acute   manic episode, in a fit of grandiose delusion , suddenly changed his religion and became Muslim, changed his name to Mohemmed,started wearing muslim topi,kurta and pyjama and frequented madrarasas and got into […]

Clinical Establishments Registration & Regulation Act and Treatment of Emergency Cases Sunday, June 30, 2013 Dr S K Joshi The application of Clinical Establishments Registration and Regulation Act, 2010 (CEA-2010) in many states, has caused a lot of confusion as well as resentment among doctors for various reasons. In addition to the resistance to compulsory […]

Posted on July 10, 2012 1 Vote   Morning Question #10 Do counselors report crimes? General answer is NO! The more you can talk to a therapist about the more likely you will be helped to change your behavior. Therapists have a legal and ethical duty to NOT repeat what you say. Any exceptions to that […]

People with Borderline Personality Disorder (BPD) differ so much there might be more than one type of BPD or that we may be placing several different mental illnesses together under one label. Gunderson in his book Borderline Personality Disorderdescribes three levels of functioning in people with BPD. Hotchkiss appears to enlarge this idea into three types of borderlines. […]

Page 1 Am J Psychiatry 161:9, September 2004 1537 Reviews and Overviews http://ajp.psychiatryonline.org Antidepressants for Bipolar Depression: A Systematic Review of Randomized, Controlled Trials Harm J. Gijsman, Ph.D., M.R.C.Psych. John R. Geddes, M.D., F.R.C.Psych. Jennifer M. Rendell, M.A. Willem A. Nolen, Ph.D. Guy M. Goodwin, D.Phil., F.R.C.Psych. Objective: This study reviewed the evi- dence from randomized, […]

Doctors by merit, not privilege June 26, 2013 , By Sujatha Rao | 71 comments Cleaning the mess in India’s medical education first needs a strengthening of the Medical Council of India through the appointment of members by an independent and rigorous selection process India is the only country that authorises, as official policy, the sale […]

  Facebook May Boost Self Esteem But Reduce Motivation.Nordqvist, J. (2013, June 2). “Facebook May Boost Self Esteem But Reduce Motivation.” Medical News Today. 03 Jun 2013 New research published in Media Psychology suggests that looking at your Facebook profile can be psychologically good and bad for you. The finding revealed that checking your profile […]

Is Your Model of Physician Behavior Out of Date? As a physician, you are a product of medical culture; in that culture, there are unspoken manners and mores that its members are expected to note and assimilate. In dealing with patients, for example, the historical model has been for physicians to remain cool, calm, and […]

A 2001 genetic study, led by Michael Bamshad of University of Utah, found that the genetic affinity of Indians to Europeans is proportionate to caste rank, the upper castes being most similar to Europeans, whereas lower castes are more like Asians. The researchers believe that the Indo-European speakers entered India from the Northwest, admixing with […]

Tinnitus is a noise that you hear in one or both of your ears or in your head. It is a symptom, not a disease. Those who have it describe it as a ringing, buzzing, humming, heartbeat, or chirping noise. What is the cause? Tinnitus can be caused by damage, blockage, or an irritation of […]

New mental health bill bans electric shocks, gives right to treatment Sunday, June 16, 2013 New Delhi: The right of mentally-ill patients to decide their mode of treatment, decriminalising suicide for them and a ban on electric shock treatment without anaesthesia are some of the progressive provisions of the new mental health bill proposed by […]

A Hindu temple in South India combines psychiatry and religion to treat people with mental ailments. by Lesley Branagan In 2001, a fire occurred at Erwadi dargah in south India, a highly popular Sufi Muslim shrine with reputed miraculous powers to heal people with mental ailments. The fire killed 25 people who had been chained […]

THE MENTAL HEALTH ACT, 1987 (No. 14 of 1987)1 [22nd May, 1987] An Act to consolidate and amend the law relating to the treatment and care of mentally ill persons, to make better provision with respect to their properly and affairs and for matters connected therewith or incidental thereto. STATEMENT OF OBJECTS AND REASONS OF […]

The Clinical Establishments (Registration and Regulation) Rules, 2010 Draft Rules for the Central Government These rules may be called The Clinical Establishments (Registration and Regulation) Rules (Central Government), 2010 These rules extend to the whole of the States of Arunachal Pradesh, Himachal Pradesh, Mizoram, Slkkim and in any other State which adopts this Act under […]

Lactose intolerance is the inability or insufficient ability to digest lactose, a sugar found in milk and milk products. Lactose intolerance is caused by a deficiency of the enzyme lactase, which is produced by the cells lining the small intestine. Lactase breaks down lactose into two simpler forms of sugar called glucose and galactose, which […]

A hydrogen breath test (or HBT) is used as a clinical medical diagnosis for people with irritable bowel syndrome, and common food intolerances. The test is simple, non-invasive, and is performed after a short period of fasting (typically 8–12 hours). Even though the test is normally known as a “Hydrogen Breath Test” some physicians may […]

From Wikipedia, the free encyclopedia Fructose malabsorption Classification and external resources Fructose ICD-10 E74.3 ICD-9 271 OMIM 138230 Fructose malabsorption, formerly named “dietary fructose intolerance,” is a digestive disorder[1] in which absorption of fructose is impaired by deficient fructose carriers in the small intestine’s enterocytes. This results in an increased concentration of fructose in the […]

From Wikipedia, the free encyclopedia Sucrose intolerance Classification and external resources Sucrose ICD-10 E74.3 ICD-9 271.3 OMIM 222900 DiseasesDB 29844 This article may be too technical for most readers to understand. Please help improve this article to make it understandable to non-experts, without removing the technical details. The talk page may contain suggestions. (November 2012) […]

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 […]

  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. […]

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 […]

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 […]

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 […]

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 […]

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, […]

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 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”.  […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 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 […]

  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 […]

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, […]

ECE 2013: Hypothyroidism manifesting as ischemic heart disease in elderly without significant coronary atherosclerosis RSi CommunicationsApr 30, 20130 view No rating as presented at the 15th European Congress of Endocrinology Researchers at the Tyumen Cardiology Center, Tyumen, Russia, and Italian colleagues, designed a study to determine predictors of significant coronary atherosclerosis (SCA) absence in elderly […]

An elephant at the Emmen, Netherlands, zoo stands at the edge of a ditch in 2009, a day after another elephant fell into the ditch and died. Olaf Kraak/AFP/Getty Images Eleanor was the matriarch of an elephant family called the First Ladies. One day, elephant researchers in Kenya’s Samburu National Reserve saw that Eleanor was […]

Besides the harmfulness of certain beverages themselves, the way in which they are consumed is also detrimental to health and well-being. Drinking with meals, drinking hot and cold beverages, and using drinks as substitutes for good nutrition are harmful drinking practices that should be avoided. 3.1 Drinking With Meals Drinking while eating is such a […]

By Charlene Laino, Senior Writer, Gupta Guide Published: April 25, 2013 Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner Take Posttest Action Points This is a systematic review of the published literature investigating associations between parenting behavior and […]