Prof. Koen Demyttenare, Placebo Vs. SSRIs ..What is beyond?

Prof. Koen Demyttenare MD, PhD University Psychiatric Center KU Leuven Leuvene, Belgium He is academic Chair of the Universiy of psychaitric Center KU leuven and head of the research group of psychiaty in the is the the University Psychiatric Center Leuven. He has written numerous articles, particularly on the role of positive emotions in depression.  Mechanism […]

Three-Minute Assessment Identifies Delirium in Older Adults

Sharon K. Inouye, MD, MPH, a study author and a researcher from the Beth Israel Deaconess Medical Center in Massachusetts, developed the Confusion Assessment Method (CAM) in 1990. In this study, she and her co-authors found the three-minute diagnostic interview for CAM-defined delirium (3D-CAM) was particularly effective in identifying delirium in patients with dementia. “Hospitals […]

Atypical Antipsychotics Associated with Acute Kidney Injury in Older Adult

The atypical antipsychotics quetiapine (Seroquel), risperidone (Risperdal), and olanzapine (Zyprexa)—commonly prescribed off-label to help manage behavioral symptoms of dementia—are associated with increased risk of acute kidney injury in older adults, suggests a study published last week in the Annals of Internal Medicine. Researchers found that participants prescribed quetiapine, risperidone, or olanzapine were more than 1.5 times […]

Adjunctive Lithium Effective for Second Generation Antidepressants, Tricyclics

Antidepressant augmentation with lithium seems effective for both tricyclic antidepressants and second generation antidepressants, according to a recent systematic review and meta-analysis published in the online Journal of Affective Disorders. While previous research on lithium augmentation focused mostly on tricyclic antidepressants, this meta-analysis covered lithium augmentation with tricyclic antidepressants as well as second generation antidepressants. Some […]

Ketamine is a safe drug and will revolutionalise the treatment of depression

      First UK study of ketamine for people with severe depression Health | Science 03 Apr 14 Ketamine had a rapid antidepressant effect in some patients with severe depression The first UK study of the use of ketamine intravenous infusions in people with treatment-resistant depression has been carried out in an NHS clinic by researchers […]

Easiest , fastest and most accurate detect cannabis use!

  The first study to compare the ability of oral devices to detect occasional and frequent marijuana use by testing saliva has shed new light on which test is best. Researchers at the National Institute on Drug Abuse (NIDA) compared the ability of these tests to accurately detect specific cannabinoids and found that fluid samples […]

Dementia

  Dementia: main causes VITAMIN D VEST: Vitamin deficiency (B12, folate, thiamine) Intracranial tumour Trauma (head injury) Anoxia Metabolic (diabetes) Infection (postencephalitis, HIV) Normal pressure hydrocephalus Degenerative (Alzheimer’s, Huntington’s, CJD, etc) Vascular (multi infarct dementia) Endocrine (hypothyroid) Space occupying lesion (chronic subdural haematoma) Toxic (alcohol)  

Psychiatric mnemonics: Personality

Cluster personality disorders Cluster A Disorder =  Atypical. Unusual and eccentric. Cluster B Disorder = Beast. Uncontrolled wildness. Cluster C Disorder = Coward [avoidant type], Compulsive [obsessive-compulsive type], or Clingy [dependent type].       Middle adolescence (14-17 years): characteristics HERO: Heterosexual crushes/ Homosexual Experience Education regarding short term benefits Risk taking Omnipotence · And there is interest in being a Hero (popular).       Borderline personality: […]

Psychiatric mnemonics: sexual issues

  Impotence causes PLANE: Psychogenic: performance anxiety Libido: decreased with androgen deficiency, drugs Autonomic neuropathy: impede blood flow redirection Nitric oxide deficiency: impaired synthesis, decreased blood pressure Erectile reserve: can’t maintain an erection     Male erectile dysfunction (MED): biological causes MED: Medicines(propranalol, methyldopa, SSRI, etc.) Ethanol Diabetes mellitus       Male Erectile Dysfunction (MED): drugs […]

Psychiatric mnemonics in sleep disorders

    REM: features REM: Rapid pulse/ Respiratory rate Erection Mental activity increase/ Muscle paralysis     Parasomnias:   time of onset SLeep terrors and SLeepwalking occur during SLow-wave sleep (stages 3 & 4). NightmaRE occurs during REM sleep (and is REMembered).       Sleep stages:   features DElta waves during DEepest sleep (stages 3 & 4, slow-wave). dREaM during REMsleep.         Narcolepsy:   symptoms, […]

Psychiatric Mnemonics in Depression

Psychiatry Mnemonics Psychiatry Mnemonics                       Reinforcement schedules: variable ratio SLOT machines show SLOwesTextinction.     Depression: major episode DSM-IV criteria · First, of course depressed mood is one. Then: SIG E CAPS: Sleep disturbance Interest loss Guilt (or intense worthlessness) Energy loss Concentration loss Appetite changes Psychomotor agitation or […]

Discovery of innovative therapeutics, today’s realities and tomorrow’s vision By Magid Abou-Gharbia* and Wayne E. Childers

  Magid Abou-Gharbia, Ph.D., FRSC is currently the Associate Dean for Research, Laura H. Carnell Professor of Medicinal Chemistry and Director of the Moulder Center for Drug Discovery Research (MCDDR) at the School of Pharmacy, Temple University, Philadelphia, PA. He is responsible for Setting and implementing School of Pharmacy research strategies to promote the school’s research […]

Tips and Hints on depression

Challenging and diagnosis of depression, a brief words selected from a full lecture given by professor Dr. Ahmed Saad , March 2014 in Jeddah SA Professor Ahmed Saad, is a professor of Psychiatry, faculty of medicine , Ain Shams University,Cairo, Egypt. At the present time He is a Senior Consultant Psychiatrist , Erfan Hospital in […]

Briefs in bipolar and unipolar mood disorder

Professor Tarek Asaad, professor of psychiatry , ain shams university, faculty of medicine. Here are several briefs of the same lecture about the updates in clinical and pharmacological research in bipolar and unipolar mood disorders,given in madinah , saudi arabia , march 2014.

Sudden death in psychiatric patients

Introduction Studies using death certificates have indicated an excess of sudden cardiac deaths among users of antipsychotic drugs compared to the general population, but may have underestimated the presence of other known causes of sudden and unexpected death. Objectives To assess the cause and risk factors for sudden death discovered by contemporaneous investigation of all […]

Updates in Depression – Full lecture Professor Okasha

  Professor Ahmed Okasha, gives a hint , about subtyping of schizophrenia, and why undifferniated schizophrenia is a weak diagnosis! Ahmed Okasha M.D., PhD, FRCP, FRCPsych, FACP(Hon.) is an Egyptian psychiatrist. He is a professor of psychiatry at Ain Shams University, Cairo, Egypt. He wrote many books and articles about psychiatry and mental disorders. He […]

Borderline, Bipolar mood disorder or both

A full lecture in 2 parts presented by Dr. Adel Serag for Psychiatrists. Is it bipolar mood disorder or borderline personality or both? What are the different ways of differentiation and management     Lecture is given in 2 parts, discussing the illness monograph of a psychiatric patient with borderline traits and showed fully morbid […]

seclusion guidlines

You can find here  the seclusion criteria in PDF file , how ,why,when to manage  an aggressive or excited patient by seclusion.   seclusion-guidelines-feb10

Treating Depression in Patients With Diabetes : Quick Hints

(1) Psychological symptoms of depression in patients with diabetes are more specific to depression than their somatic counterparts (2) Specificity of the somatic symptoms of depression is increased when the somatic symptoms are severe, start concomitantly with depressed mood or anhedonia, are unrelated to diabetes, or appear out of proportion to what is expected (3) […]