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Journal articles on the topic 'Patient's clinical behaviour'

Author: Grafiati

Published: 4 June 2021

Last updated: 31 January 2023

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1

Bjørkly, Stål. "Scale for the Prediction of Aggression and Dangerousness in Psychotic Patients, an Introduction." Psychological Reports 73, no. 3_suppl (1993): 1363–77. http://dx.doi.org/10.2466/pr0.1993.73.3f.1363.

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The design and theoretical bases of the Scale for the Prediction of Aggression and Dangerousness in Psychotic Patients (PAD) are described. The scale is based on an interactional understanding of aggressive behaviour in psychotic patients. This model emphasizes detailed analyses of each patient's situational and interactional vulnerability, in addition to personality variables, for improved prediction of aggressive behaviour. Situational vulnerability is thus defined as increased likelihood to act aggressively towards others in a given interaction. Based on 29 items grouped in 7 main categorie

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2

Nathan, Jack. "Self-harm: a strategy for survival and nodal point of change." Advances in Psychiatric Treatment 12, no. 5 (2006): 329–37. http://dx.doi.org/10.1192/apt.12.5.329.

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The author explores key issues related to psychotherapeutic work with people who self-harm. Particular attention is given to the powerful countertransference feelings that practitioners often experience in this work and the importance of managing these. Rather than maintaining a detached distance, therapists should emotionally engage with the patient's experience, creating a unique therapeutic relationship. The common patterns, functions and meanings of self-harm are discussed, with clinical vignettes that highlight the underlying dynamics of the behaviour. Self-harm is a survival stratagem, a

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Joubrel, D., D. Caroline, and J. L. Gaspard. "Personality Disorders and Painful Bodily Experiences: About 100 Cases in a Psychiatric Emergency Service." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70576-0.

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This communication presents an epidemiological, clinical and therapeutic study about 100 cases of suicidal patients in crisis who have received psychiatric emergency care. Results of this research emphasize the relationship between patient's borderline personality disorder and sensorial/painful bodily experiences (like body marks, self-mutilations and scarifications). A specific emergency treatment in Guillaume Régnier hospital (Rennes - France) supports patients for reducing risk of suicidal behaviour.

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Joubrel, D., D. Caroline, and J. L. Gaspard. "Personality Disorders and Painful Bodily Experiences: About 100 Cases in a Psychiatric Emergency Service." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71310-0.

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This communication presents an epidemiological, clinical and therapeutic study about 100 cases of suicidal patients in crisis who have received psychiatric emergency care. Results of this research emphasize the relationship between patient's borderline personality disorder and sensorial/painful bodily experiences (like body marks, self-mutilations and scarifications). A specific emergency treatment in Guillaume Régnier hospital (Rennes - France) supports patients for reducing risk of suicidal behaviour.

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5

Schulte, Dietmar. "Behavioural Analysis: Does It Matter?" Behavioural and Cognitive Psychotherapy 25, no. 3 (1997): 231–49. http://dx.doi.org/10.1017/s1352465800018531.

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Behavioural or, in more general terms, problem analysis is usually regarded as the prerequisite of behaviour therapy. In behaviour therapy research, however, problem analysis does not play a key role. Patients are usually assigned to treatment methods on the basis of clinical diagnosis. It could be assumed that the lack of attention to the patient's individual characteristics should lead to poorer therapy outcome results. However, empirical data of a project reviewed in this paper in fact showed that assigning patients to standard treatment merely on the basis of clinical diagnoses provides re

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Browne, Jan, Victor Minichiello, and David Plummer. "Guided reflection: transcending a routine approach in the management of sexually transmissible infections." International Journal of STD & AIDS 13, no. 9 (2002): 624–32. http://dx.doi.org/10.1258/09564620260216335.

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This paper describes a distinctive approach to the sexually transmissible infections (STI) clinical consultation: 'the guided reflection approach'. The authors coined this term and identified the guided reflection approach through analysis of 22 in-depth interviews with practitioners who provide care for people with STI, and 34 people who had attended a healthcare facility in Australia for screening or treatment of an STI. A grounded theory method was used to collect and analyse this information. The data revealed when the STI consultation is conducted using the principles characterized by the

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Morrison, Anthony P. "Cognitive Behaviour Therapy For Auditory Hallucinations Without Concurrent Medication: A Single Case." Behavioural and Cognitive Psychotherapy 22, no. 3 (1994): 259–64. http://dx.doi.org/10.1017/s1352465800013126.

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A 38 year old patient with auditory hallucinations was treated with a brief cognitive-behavioural intervention without concurrent medication. This intervention was based upon the theory of Bentall (1990a, b) and the methods of Haddock, Bentall and Slade (1993). The patient's ratings for frequency of hallucinations and distress caused were significantly reduced at end of treatment, and her belief in the reality of these voices was correspondingly diminished. These gains were maintained at one and three month follow-up.

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Bianco, A., MM Parente, E. De Caro, R. Iannacchero, U. Cannistrà, and IF Angelillo. "Evidence-Based Medicine and Headache Patient Management by General Practitioners in Italy." Cephalalgia 25, no. 10 (2005): 767–75. http://dx.doi.org/10.1111/j.1468-2982.2005.00972.x.

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The study explores the awareness of technical terms used in evidence-based medicine (EBM) and manner of treating patients with migraine among a random sample of 500 general practitioners (GPs). A mailed questionnaire included questions on GPs' demographics and practice characteristics; awareness of EBM; sources of information about migraine and EBM; and patient's treatment behaviour. Only 27.2% of GPs agreed that clinical trials are needed to evaluate the efficacy of treatments and this awareness was higher in those who learned about migraine from scientific journals or continuing education co

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DiPetta, G. "The synthetic psychosis substances induced: A clinical case study." European Psychiatry 33, S1 (2016): S18. http://dx.doi.org/10.1016/j.eurpsy.2016.01.817.

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The presentation intends to examine a new kind of clinical psychiatric syndrome, called by the author “synthetic psychosis”, which can occur in people who abuse novel psychoactive substances (NPS). This syndrome will be considered from both a psychopathological and a phenomenological perspective. The contemporary trend of poly-abuse of NPS in young people can lead to a sort of very intense paraphrenic state characterised by continuous hallucinations and formed by a mental automatism syndrome and by secondary (interpretative) delusions. The clinical case of G., discussed in this paper, is an ex

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10

Mullen, Paul E., and Michele Pathé. "Stalking and the Pathologies of Love." Australian & New Zealand Journal of Psychiatry 28, no. 3 (1994): 469–77. http://dx.doi.org/10.3109/00048679409075876.

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Fourteen patients with pathologies of love (erotomania) are presented; all stalked the object of their disordered affections These cases were encountered in forensic practice and were personally assessed, and in most cases managed, by the authors. Victim impact reports or depositions made by the objects of these patient's unwanted attentions were available. All patients indulged in stalking behaviours which included following, loitering in the victim's vicinity, approaching, telephoning, and sending letters. The objects of the patient's affections were threatened in five cases, violently assau

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Gupta, Kamal, Kandiah Sivakumar, and Nigel Smeeton. "Deliberate self-harm: a comparison of first-time cases and cases with a prior history." Irish Journal of Psychological Medicine 12, no. 4 (1995): 131–34. http://dx.doi.org/10.1017/s0790966700014233.

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AbstractObjective: Eighty one patients admitted following deliberate self-harm were assessed using a semi-structured interview. The aim of the study was to compare clinical and social profiles of the 42 patients who had committed self harm for the first time with those of the 39 who had committed self harm in the past.Method: The patients were assessed jointly by a psychiatrist and either a community psychiatric nurse or a social worker. A description of past suicidal behaviour, socio demographic information, medical and psychiatric history were recorded. Suicide intent was assessed both from

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Cohen, Dermot P., Mohammed Saleem Akhtar, Adeel Siddiqui, et al. "Aggressive incidents on a psychiatric intensive care unit." Psychiatric Bulletin 32, no. 12 (2008): 455–58. http://dx.doi.org/10.1192/pb.bp.107.015412.

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Aims and MethodThis study looked at patient aggressive behaviour on an Irish psychiatric intensive care unit, and whether it was related to diagnosis, patient's insight and symptomatology. Each aggressive incident was recorded throughout the patient's stay using the Staff-Observed Aggression Scale.ResultsNinety-nine individuals were admitted to the unit during the study. We recorded 82 aggressive incidents, with most occurring during the daytime and on weekdays. There was no statistical difference in BPRS scores between the aggressive and non-aggressive groups. the aggressive patient group had

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Hutchinson, Ann, Natalie Barclay-Klingle, Kathleen Galvin, and Miriam J. Johnson. "Living with breathlessness: a systematic literature review and qualitative synthesis." European Respiratory Journal 51, no. 2 (2018): 1701477. http://dx.doi.org/10.1183/13993003.01477-2017.

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What is the experience of people living with breathlessness due to medical conditions, those caring for them and those treating them, with regard to quality of life and the nature of clinical interactions?Electronic databases (Ovid MEDLINE, Embase, CINAHL Plus and PsycINFO) were searched (January 1987 to October 2017; English language), for qualitative studies exploring the experience of chronic breathlessness (patients, carers and clinicians). Two independent reviewers screened titles, abstracts and papers retrieved against inclusion criteria. Disagreements were resolved with a third reviewer

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Singh, Bharath, and Reena Ramsaroop. "Clinical features of malignant transformation in benign laryngeal papillomata." Journal of Laryngology & Otology 108, no. 8 (1994): 642–48. http://dx.doi.org/10.1017/s0022215100127720.

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AbstractLaryngeal papillomata can undergo spontaneous malignant transformation without being detected histologically and, in some instances, the disease may become so advanced, before the diagnosis is confirmed, that it is beyond any form of curative treatment.Because of this limitation imposed by histopathological investigation, a study was undertaken in 17 adults with benign laryngeal papillomata, (three of whom underwent malignant transformation) to determine whether malignant transformation can be predicted from the clinical behaviour of the tumour. The following features were analysed: ag

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15

Othman, Che Noriah, Syed Azhar Syed Sulaiman, Maryam Farooqui, and Wan Ismahaniza Ismail. "Knowledge, Attitude and Health Belief (KAHB) on Cancer and Its Treatment: Qualitative exploration of cancer patients in Penang, Malaysia." Environment-Behaviour Proceedings Journal 6, no. 16 (2021): 127–35. http://dx.doi.org/10.21834/ebpj.v6i16.2695.

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KAHB toward cancer and its treatment determines the patients' clinical outcome. This study explored KAHB among cancer patients in Penang, Malaysia. Sixteen cancer patients were interviewed upon saturation. This study recorded the information, transcribed, translated and validated before coded and categorized into themes. The study showed that perceived knowledge of cancer and its treatment was moderate. Their attitude toward cancer and its treatment was positive; however, revealed various health belief which influences their cues to action. Most patients seek traditional treatment besides mode

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Kingdon, D. "FC19-03 - Advances in cognitive behaviour therapy for psychosis." European Psychiatry 26, S2 (2011): 1917. http://dx.doi.org/10.1016/s0924-9338(11)73621-5.

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IntroductionCBT for psychosis has been developed over the past two decades and is now recommended by most clinical guidelines for schizophrenia internationally.Aims & objectivesTo provide an up-date on advances and controversies in CBT for psychosis.MethodEvidence from recent meta-analyses (including Lynch et al, 2010) and randomised controlled trials will be reviewed. These have generally demonstrated effectiveness in early and treatment-resistant schizophrenia of CBT, and other specific indications, e.g. co-morbid substance misuse, aggressive behaviour, command hallucinations. Treatment

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Quintero, Yasmy, Manuel Restrepo, Jenny Angélica Saldarriaga, Alexandra Saldarriaga, and Lourdes Santos-Pinto. "Treatment options for deciduous molar hypomineralization: a report of three cases." Dental Update 46, no. 6 (2019): 546–53. http://dx.doi.org/10.12968/denu.2019.46.6.546.

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Deciduous molar hypomineralization (DMH) is an enamel defect of systemic and multifactorial origin that affects the second deciduous molar. Currently, its treatment is based on guidelines for Molar Incisor Hypomineralization (MIH), a disturbance that affects permanent molars and may or may not be associated with permanent incisors. To date, there are no guidelines for DMH. Therefore, three different therapeutic approaches are presented to treat DMH, emphasizing the relevance of early diagnosis, differential diagnosis and treatment options, and tailored to take into account each patient's and p

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Rodrigues, C., M. Andrade, V. Palma, and C. Cardoso. "When a Man Loves a Woman: a Case of Erotomania in the 21st Century." European Psychiatry 33, S1 (2016): S464. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1687.

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IntroductionErotomania, or De Clerambault's Syndrome, was first described in 1921. However, cases of Insane Love were long known before. Presently, this condition is classified as a delusional disorder typically affecting women. However, in forensic samples, most of these reports relate to men with violent behaviour, associated to harassing or stalking of a woman.ObjectiveTo present the case of a man, diagnosed with Erotomania and literature review of similar cases.AimTo bring awareness to the infrequent diagnosis of this condition in males and the legal implications this condition may have.Me

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Ponizovskiy, P., and A. Gofman. "What triggers help-seeking behaviour in “early stage” alcohol-dependent drinkers." European Psychiatry 33, S1 (2016): S312. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1066.

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AbstractIn early stages of alcohol addiction negative effects of alcohol often remain invisible to the patient or underestimated and considered “normal” by him. However, there is a cohort of alcohol drinkers who seek outpatient treatment in early stages of addiction.The study was conducted in order to investigate the triggers for seeking therapy in early stages of alcohol dependence when compulsive drinking, impaired control and increased alcohol tolerance are developed, but withdrawal symptoms followed by relief drinking are not yet observed. Fourty-six out-patients (31 men and 15 women, mean

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Fitzgerald, Paul B. "The Bowerbird Symptom': A Case of Severe Hoarding of Possessions." Australian & New Zealand Journal of Psychiatry 31, no. 4 (1997): 597–600. http://dx.doi.org/10.3109/00048679709065083.

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Objective: To describe a severe case of hoarding of possessions in a patient with obsessive-compulsive disorder. Clinical picture: A 22-year-old male presented with a history from early childhood of persistent collecting of valueless objects and the inability to give up possessions. He had significant insight but ambivalent feelings about changing his behaviour, despite the degree of disruption it produced in his environment. Treatment and outcome: Attempts to engage the patient in treatment were unsuccessful because of the patient's ambivalence towards change. Conclusions: The symptom of hoar

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Jones, Kathryn Latimer. "How to accurately measure blood pressure." Veterinary Nurse 13, no. 3 (2022): 140–43. http://dx.doi.org/10.12968/vetn.2022.13.3.140.

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One very important clinical skill for every veterinary nurse is the accurate measurement of arterial blood pressure in both conscious and anaesthetised patients. These readings are useful for a wide variety of monitoring as well as diagnostic purposes. It is critical to produce accurate results so that patients may receive the best care and treatment as soon as possible. If blood pressure measurement is not performed correctly there is the possibility of an error, which can negatively impact patient management. Blood pressure measurements are sensitive: their accuracy can be affected by the en

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Jones, Kathryn Latimer. "How to accurately measure blood pressure." Veterinary Nurse 13, no. 3 (2022): 140–43. http://dx.doi.org/10.12968/vetn.2022.13.3.140.

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One very important clinical skill for every veterinary nurse is the accurate measurement of arterial blood pressure in both conscious and anaesthetised patients. These readings are useful for a wide variety of monitoring as well as diagnostic purposes. It is critical to produce accurate results so that patients may receive the best care and treatment as soon as possible. If blood pressure measurement is not performed correctly there is the possibility of an error, which can negatively impact patient management. Blood pressure measurements are sensitive: their accuracy can be affected by the en

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23

Radeljak, S., T. Žarkovic-Palijan, M. Kovač, and D. Kovačević. "Structural Brain Abnormalities in Homicidal Patient: Forensic Case Report." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71071-5.

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Background:Studies have revealed that areas associated with violent behaviour are located in the prefrontal cortex, medial temporal regions and limbic regions. Key regions commonly found to be impaired in population of violent homicide offenders include prefrontal cortex, temporal gyrus, amygdala-hippocampal complex, and anterior cingulate cortex. Recent findings have confirmed link between large arachnoid cysts and psychotic symptoms. There is no scientific data in literature on the case of homicidal forensic patient with large arachnoidal cyst and lesion of frontal and temporal brain regions

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Watanabe, Hyuma, Masatoshi Kawarasaki, Akira Sato, and Kentaro Yoshida. "Wearable ECG Monitoring and Alerting System Associated with Smartphone." International Journal of E-Health and Medical Communications 4, no. 4 (2013): 1–15. http://dx.doi.org/10.4018/ijehmc.2013100101.

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Heart disease has the second high mortality rate behind cancer in Japan, and requires quick treatment. To take a part in emerging mHealth, the authors developed a wearable electrocardiographic (ECG) monitoring and alerting system “iHeart”. iHeart continuously monitors patient's ECG in his/her daily activities and issues an alert to the patient as well as surrounding people if it detects abnormal heart behaviour. iHeart consists of a wireless ECG sensor and a smartphone to achieve light-weighted, low-cost system that does not degrade the patient's Quality of Life. In parallel, the authors devel

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Swift, Geraldine. "Are journal clubs useful in teaching psychiatry?" BJPsych Advances 22, no. 3 (2016): 203–10. http://dx.doi.org/10.1192/apt.bp.114.013664.

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SummaryJournal clubs are a mandatory aspect of psychiatric training in the UK, yet are not always seen as a stimulating experience. Clarifying the aim of the club and tailoring it to the needs and wishes of the audience is an essential step. Teaching skills in critical appraisal is often seen as the main purpose of journal clubs. Depending on the audience, being able to formulate questions from clinical dilemmas, search the literature, and integrate research evidence, clinical expertise and the patient's needs and wishes may be as important. Linking these tasks in the journal club with routine

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TATTAN, TERESA, and NICHOLAS TARRIER. "The expressed emotion of case managers of the seriously mentally ill: the influence of expressed emotion on clinical outcomes." Psychological Medicine 30, no. 1 (2000): 195–204. http://dx.doi.org/10.1017/s0033291799001579.

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Background. Expressed emotion (EE) measured from relatives and informal carers has been consistently demonstrated to be associated with clinical outcome in schizophrenic patients. There have also been published studies that have investigated EE in professional carers that have suggested that the quality of the relationship between staff and patient may also be associated with patient outcomes. A large controlled trial of the effectiveness of different intensities of case management provided the opportunity to assess the association between the EE of case managers, including the quality of the

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Garcia Tellez, J. M., L. Gonzalez Saavedra, and J. M. Sanchez-Moyano Lea. "Age and clinical presentation of patients at onset of borderline personality disorder in a mental health unit." European Psychiatry 26, S2 (2011): 1017. http://dx.doi.org/10.1016/s0924-9338(11)72722-5.

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OjectiveBorderline Personality disorder is a well recognised syndrome. These patients show a clear emotional unstability, lack of control impulse, unpredictible auto and heteroaggresive behaviour, poor interpersonal realitionships and self image as well as brief psychotic episodes.The unspecific symtomatology and diagnostic difficulty derived from different nosographic frames makes their diagnosis and treatment a challenge. Through the analysis of their medical records we aim to know the age they sought specialized help, the symptomatology at first consultation, the treatment given and the out

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Sia, K. J., I. P. Tang, and T. Y. Tan. "Multiple symmetrical lipomatosis: case report and literature review." Journal of Laryngology & Otology 126, no. 7 (2012): 756–58. http://dx.doi.org/10.1017/s0022215112000709.

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AbstractObjective:To discuss the pathophysiology and various treatment methods of multiple symmetrical lipomatosis.Case report:We report a case of multiple symmetrical lipomatosis in a middle-aged man. He presented to us with an extensive, disfiguring neck mass. Clinical examination and computed tomography suggested a lipomatous mass without compression of vital neck structures. The proximity of the lipomatous mass to the carotid sheaths attracted our interest. We performed surgical excision in this case, because of the deep infiltrative behaviour of the lipoma. The benefits and drawbacks of l

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Viloria Jiménez, M. Aurora, Mónica Chung Jaén, Marta Vigara García, and Helena Barahona‐Alvarez. "Decision-making in older people with dementia." Reviews in Clinical Gerontology 23, no. 4 (2013): 307–16. http://dx.doi.org/10.1017/s0959259813000178.

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SummaryDementia is a syndrome characterized by a progressive impairment in cognition, function and behaviour, with a considerable burden in terms of health and social care, and economic costs. As Alzheimer's disease and other dementias advance, the patient's capacity, competence and possibility of participation in decision-making decrease. Key points in managing people with dementia include screening of cognitive impairment, neuropsychological assessment, laboratory tests and neuroimaging, genetic tests, informed consent, inclusion in clinical trials and discussion of advance directives, drivi

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Tyrer, Peter, Jeanette Smith, and Gwen Adshead. "Ethical dilemmas in drug treatments." Psychiatric Bulletin 18, no. 4 (1994): 203–4. http://dx.doi.org/10.1192/pb.18.4.203.

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A 45-year-old woman with a long history of schizoaffective symptoms associated with disruptive and antisocial behaviour refused to cooperate with out-patient treatment and particularly medication, having developed a strong distrust of psychiatrists. After discussions with the multidisciplinary team, the psychiatrist agreed to share treatment decisions with the patient and accepted her refusal of medication. This course of action is not always comfortable for professionals, especially when a patient challenges clinical judgement. However, this case illustrates how, by adopting a less paternalis

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Heningtyas, Afina Hasnasari, Annisa Dian Puspita, and Afryla Femillian. "The Behaviour Of Dental And Oral Health And Risk Of Caries In The Prolanis Group Of Klinik Pratama Firdaus Yogyakarta." Jurnal Kesehatan Gigi 8, no. 1 (2021): 70–75. http://dx.doi.org/10.31983/jkg.v8i1.6573.

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Background: Systemic diseases such as diabetes mellitus and hypertension can be associated and provide clinical manifestations in the oral cavity. These manifestations can certainly impact and feel uncomfortable and can reduce the function of the patient's oral cavity. Purpose: This study aims to describe the level of knowledge, attitudes, and oral health measures and the risk of caries in patients with diabetes mellitus and hypertension in the Prolanis group. Methods: This study was a descriptive observational study with a cross-sectional study design. The questionnaire used was a knowledge,

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Fitri, Haria, Suci Rahma Sari, Nila Kasuma, Rahmi Khairani, Dedi Sumantri, and Fildzah Nurul Fajrin. "Bakti Sosial Teledentistry untuk Mengoptimalkan Pelayanan Pasien di Era New Normal Dentistry." Jurnal Warta Pengabdian Andalas 28, no. 3 (2021): 200–205. http://dx.doi.org/10.25077/jwa.28.3.200-205.2021.

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Dental and oral health is essential for every individual, especially for carrying out functions such as eating, speaking, aesthetics and feeling comfortable throughout the day. Dentists recommend checking the patient's oral health every six months. The Covid-19 pandemic limits the community's social conditions, including the need for patients to get dental and oral services from dentists. In addition, the professional activity of a dentist is one of the jobs most at risk of contracting Covid-19 from patients. A social service activity aims to introduce the Teledentistry method to patients, Co-

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Rozenbilds, U., R. D. Goldney, P. N. Gilchrist, E. Martin, and H. Connelly. "Assessment by Relatives of Elderly Patients with Psychiatric Illness." Psychological Reports 58, no. 3 (1986): 795–801. http://dx.doi.org/10.2466/pr0.1986.58.3.795.

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Participation of relatives to provide clinical information on psychiatric patients is frequently under-utilized resulting in valuable data being bypassed. In an attempt to formalise the gathering of data from relatives we used the Geriatric Evaluation by Relatives Rating Instrument (GERRI), a 49-statement questionnaire in which the relative rates the patient's behaviour in terms of frequency of occurrence, The information obtained from relatives was then compared with that obtained from other forms of patient-assessment—the London Psychogeriatric Rating Scale completed by nursing staff, the Mi

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Patrakeeva, Evgenia Mikhailovna, Mariia Nikolayevna Dunicheva, and Alsu Gafurovna Zalevskaya. "Fear of hypoglycaemia in patients with type 1 diabetes." Diabetes mellitus 17, no. 2 (2014): 66–75. http://dx.doi.org/10.14341/dm2014266-75.

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Independently of causes and risk factors of hypoglycaemia, its manifestations are always unfavourable and evoke fear and other negative emotions that lead to negative consequences connected with quality of diabetes control. The fear of hypoglycaemia creates an internal conflict by diminishing patients? motivation to adhere to intensive treatment regimes. In addition to the severity of hypoglycaemia and its negative consequences, quality of life is one of the main criteria for evaluating the physical, psychological and social components of patient's life as a whole. Fear of hypoglycaemia is one

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Siregar, Gontar Alamsyah, and Dedi Irwansyah. "Comparison of Platelet to Lymphocyte Ratio between Degrees of the Barcelona Clinic Liver Cancer on Hepatocellular Carcinoma Patients at Haji Adam Malik General Hospital." Open Access Macedonian Journal of Medical Sciences 7, no. 20 (2019): 3451–54. http://dx.doi.org/10.3889/oamjms.2019.444.

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BACKGROUND: Hepatocellular carcinoma (HCC) is the fifth most common malignancy. The Barcelona Clinical Liver Cancer System (BCLC), guides the treatment of patients with HCC. Platelet to lymphocyte ratio (PLR) is an inflammatory marker used as a prognostic factor disease of HCC. An increase in PLR indicates higher host's inflammatory response and is associated with aggressive HCC behaviour, according to BCLC. AIM: This study aims to determine the PLRs between among the degrees of BCLC (The Barcelona Clinic Liver Cancer) in HCC patients at Haji Adam Malik General Hospital in Medan during 2

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Gill, Balraj. "Every Contact Matters: the Role of the GDP." Dental Update 47, no. 4 (2020): 345–52. http://dx.doi.org/10.12968/denu.2020.47.4.345.

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‘Making Every Contact Count’ (MECC) is a government initiative headed by Public Health England and other organizations to provide support for patients to make positive behaviour changes to their health and wellbeing. The aim of MECC is to reduce the number of long-term diseases in the population that are attributable to behavioural risks factors. Primary dental practitioners are well positioned to provide the recommended brief advice on smoking, alcohol consumption and other factors. This article will highlight current guidance relating to these modifiable risk factors, and explain how dentist

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Barton, S. E. "Current Issues in the Management of Genital Herpes." Antiviral Chemistry and Chemotherapy 6, no. 6_suppl (1995): 3–6. http://dx.doi.org/10.1177/09563202950060s602.

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Genital infection by herpes simplex virus (HSV) produces a variety of clinical manifestations, patient presentations and management problems which differ in their severity and complexity. In the UK the currently available data for the incidence of genital HSV have been provided predominantly by the KC60 returns from diagnoses made in genitourinary (GU) medicine clinics. The increasing availability and recent publication of the first results, using HSV type-specific antibody tests within GU and non-GU patient populations, provide a tool to monitor trends in the epidemiology of HSV. It is, howev

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Gonlag, A., M. van Baest, C. Rijnders, and R. Teijeiro. "Who gains from suicide risk assessment: Health inspectorate and health insurances, or also psychiatrist and patient?" European Psychiatry 33, S1 (2016): S601. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2245.

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IntroductionThe number of suicides rises in the Netherlands. In 2008, 1435 suicides were recorded; in 2012: 1753 (CBS). Adequate risk assessment with suicidal behaviour (SRA) is essential for prevention. The Health Inspectorate and Insurances seek to have a stronger grip on the way suicide risk is assessed and insist on using questionnaires. This runs counter to the multidisciplinary guidelines in the Netherlands for diagnosis and treatment of suicidal behaviour, which state that “questionnaires or observation instruments cannot replace clinical diagnostic examination.”ObjectiveDo questionnair

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Feinstein, Anthony, Brian Levine, and Andrea Protzner. "Confabulation and multiple sclerosis: a rare association." Multiple Sclerosis Journal 6, no. 3 (2000): 186–91. http://dx.doi.org/10.1177/135245850000600309.

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Background: Fantastic confabulation in the context of Multiple Sclerosis (MS) has not previously been reported in the literature. The association is of interest because clearly demonstrable brain pathology in MS together with other cognitive and behavioural correlates may further our understanding of the neural basis underlying confabulation. Methods: A single case report with magnetic resonance imaging of the brain and detailed neuropsychological evaluation. Results: Confabulation occurred together with disinhibited and stimulus bound behaviour. While the patient's physical and emotional stat

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Gani, Rina Krismiati, Erikavitri Yulianti, and Ifa Tunisya. "Impact of Duration of Untreated Psychosis on Cognitive Function in Schizophrenia." Jurnal Psikiatri Surabaya 10, no. 1 (2021): 20. http://dx.doi.org/10.20473/jps.v10i1.23586.

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Background: Schizophrenia is a chronic and serious clinical syndrome with very aggravating psychopathology involving perception, cognition, emotion, and behaviour. Currently, cognitive dysfunction is seen as a core disorder of schizophrenia. Duration of Untreated Psychosis (DUP) refers to the period from the onset of psychotic symptoms to the first adequate administration of antipsychotics.Aims: This review aims to analyse the impact of DUP on cognitive function in schizophrenia.Methods: PubMed and Google Scholar were searched using the following keyword: (cognitive function) and (neurodevelop

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Badel, T., J. Keros, S. Kocijan Lovko, J. Kern, and M. Marotti. "Impact of Anxiety on the Pain Intensity in Patients with Temporomandibular Joint Disorder During Splint Treatment." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70752-7.

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Objectives:Level of anxiety and pain intensity before and after splint treatment of patients with temporomandibular joint disorder (TMJD) was compared.Methods:TMJD in 60 patients (mean age 37.9 years, 80% women) was diagnosed using patient's history and clinical examination, and was confirmed by magnetic resonance imaging of the TMJs. Pain intensity was rated on a visual-analogue scale. The anxiety was confirmed by Spielberger's State-Trait Anxiety Inventory (STAI).Results:A higher level of anxiety was determined due to the fact that the mean score in STAI 1 was 39.80 and STAI 2 was 41.10. Bef

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Chang, S., E. Seow, Y. W. Lau, S. A. Chong, and M. Subramaniam. "Help-seeking for sleep problems among psychiatric outpatients." European Psychiatry 41, S1 (2017): S603—S604. http://dx.doi.org/10.1016/j.eurpsy.2017.01.944.

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IntroductionThough sleep disturbances are common among psychiatric patients, some patients may trivialize their problem and not discuss it with their doctors. This study thus aimed to assess patient profile that is associated with help seeking for sleep problems among psychiatric patients.MethodsOutpatients from a tertiary psychiatric hospital were recruited for this study (n = 400). The pittsburgh sleep quality index was administered to identify cases of probable insomnia, and daytime impairment due to sleep disturbances was recorded. Participants were asked if they have ever consulted a doct

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Sosin, I., Y. Chuev, O. Goncharova, G. Misko, and A. Volkov. "Psychosomatic and psychopathological paradigms of alcoholic anorexia." European Psychiatry 41, S1 (2017): S313—S314. http://dx.doi.org/10.1016/j.eurpsy.2017.02.221.

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IntroductionAlcoholic anorexia (AA), being one of prevalent narcology diseases, up to now has not been studied in psychosomatics and psychopathology paradigm.Aims and objectivesTo identify multifactorial pathopsychological, psychopathological, nervous, alimentary, toxicological constituents of AA pathogenesis.MethodTwenty-four patients with alcohol dependence (males aged 29–37) have been studied. Diagnosis was objectified by psychosomatic, pathopsychological complex international valid tests and rating, adequate for investigation design, laboratory, electrophysiology, biochemical, ultrasound a

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Davidson, Kate M., Peter Tyrer, John Norrie, Stephen J. Palmer, and Helen Tyrer. "Cognitive therapy v. usual treatment for borderline personality disorder: prospective 6-year follow-up." British Journal of Psychiatry 197, no. 6 (2010): 456–62. http://dx.doi.org/10.1192/bjp.bp.109.074286.

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BackgroundLonger-term follow-up of patients with borderline personality disorder have found favourable clinical outcomes, with long-term reduction in symptoms and diagnosis.AimsWe examined the 6-year outcome of patients with borderline personality disorder who were randomised to 1 year of cognitive–behavioural therapy for personality disorders (CBT–PD) or treatment as usual (TAU) in the BOSCOT trial, in three centres across the UK (trial registration: ISRCTN86177428).MethodIn total, 106 participants met criteria for borderline personality disorder in the original trial. Patients were interview

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Maia, J. "“organic Personality Disorder” as Part of Early Neuropsychiatric Manifestations in Huntington’s Disease - a Case Report." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71313-6.

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Huntington's Disease (HD) is an inherited autosomal dominant disorder characterized by motor, cognitive and psychiatric symptomatology, being considered a paradigmatic neuropsychiatric disorder that includes all three components of the "Triadic Syndromes": dyskinesia, dementia and depression.Firstly described in 1872 as an "Hereditary Chorea" by George Huntington only in 1993 was its responsible gene identified. A person who inherits the HD gene will sooner or later develop the disease. the age of onset, early signs and rate of disease progression vary greatly from person to person.Neuropsychi

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Roque Pereira, M., A. Fornelos, and A. R. Figueiredo. "Challenging Patient-doctor Interactions in Psychiatry – Difficult Patient Syndrome." European Psychiatry 41, S1 (2017): S719. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1297.

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IntroductionThe factors contributing to a challenging interaction between the roles of patient and physician may come from several sources. Each interrelation has its own modus operandis in which one of the individuals may not condone the persona the other individual is portraying. A mental illness or diagnosis is often stigmatised by the burden of stereotypical bizarre associations. That means the patient is generally not guilty and this is not another label they should carry. Though the mental health professional should be impervious to this, some degree of discomfort may throw some shadow o

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Woźniak, Piotr A., and Katarzyna Jankowska. "Postpartum depression Part 2. Biological treatment: practical aspects & safety issues. Review of the literature." Wiedza Medyczna 2, no. 2 (2020): 52–61. http://dx.doi.org/10.36553/wm.64.

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Introduction: Mother with postnatal depression is not able to adequately respond to the needs of her child. Maternal depression poses a serious health & safety risk for mother and child. They both need treatment with rapid onset of action and minimal influence on the infant. Aim: Discussion of professional boards’ recommendations together with RCT results and clinical observations reffering to nursing depressed women with emphasis on practical aspects and future directions. Methods: Discussion on postnatal depression treatment national guidelines and results from meta-analyses

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Vieta, E., M. Garriga, L. Cardete, et al. "Algorithm-based protocol for the identification, management and treatment of psychiatric patients with acute psychomotor agitation." European Psychiatry 41, S1 (2017): S566. http://dx.doi.org/10.1016/j.eurpsy.2017.01.828.

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IntroductionPsychomotor agitation is the most common behavioural disorder observed in emergency and psychiatry departments. This syndrome is characterized by excessive or inappropriate motor or verbal activity and important emotional tension. Psychomotor agitation may be associated with medical conditions, substance intoxication/withdrawal and in a significant number of cases with schizophrenia or bipolar I disorder.ObjectivesThe objective of this protocol was to provide up-to-date guidance to identify, manage and treat patients with an episode of acute agitation, considering the consensus cli

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Consoli, S. M., and M. E. Safar. "A behavioral typology of hypertensive out-patients followed up in general practice." Psychiatry and Psychobiology 4, no. 6 (1989): 347–55. http://dx.doi.org/10.1017/s0767399x00001401.

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Summary2275 hypertensive patients consulting their usual general practitioner were analyzed using a specifically designed questionnaire. Sixty-two percent of the subjects were already treated and 38% were untreated prior to inclusion in the study. The data, collected during the usual medical consultation, included several questions answered by the physician concerning the patient's psychological status as well as a series of behavioural scales. The aim of this study was to describe a small number of different and homogeneous psychological patterns rather than a unique profile of hypertensive o

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Masiello, Simonetta, Paola della Rovere, Concetta Fierro, and Lorena Latini. "Adolescenti devianti: l'intervento psicologico nel contesto penale." PSICOBIETTIVO, no. 2 (May 2009): 87–98. http://dx.doi.org/10.3280/psob2008-002006.

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- In this work the Authors intend to propose some reflections on the clinical intervention acted in a juvenile justice service upon adolescents who committed an offence. In particular, the Authors focus their attention on resources and limits of psychological work in a context that have a double mandate, and that must guarantee, then, both social order and psychological help. This context entails a lot of difficulties like the patient's low motivation and the time planned by the trial iter, which are both problems strictly connected with the Justice system's net of services and the unavoidable

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