Neurology Psychiatry Research Articles

Immunomediated Encephalitis: New Diagnoses on the Neurology–Psychiatry Interface

Immunomediated Encephalitis: New Diagnoses on the Neurology–Psychiatry Interface

RETRACTED: Internet of things smart medical system and nursing intervention of glucocorticoid drug use

The Internet of Things is described as a single Internet connection that allows switching data network physical devices. These devices are not necessarily complex technical progress. However, it simplifies the process and allows healthcare professionals timely complete tasks. Focus on healthcare and technology companies tend to invest a lot of money in the Internet of Things. Today, most high-tech equipments have some form of connection, from wearable devices (such as biological sensors) to have a Wi-Fi or Bluetooth X-ray equipment. IoT-enabled medical devices provide essential data to support the performance of health care professionals. Corticosteroids reduce inflammation in various diseases and immune activation standard therapy. However, like other potent drugs, it is not without side effects. Glucocorticoid-related side effects may be related to most of the major organ systems. All musculoskeletal, gastrointestinal, cardiovascular, endocrine, neurological psychiatry, dermatology, eye diseases and immune system side effects may occur. Glucocorticoid treatment with various side effects, but careful monitoring and appropriate prevention strategies may minimize these side effects. Doctors need to enable patients to understand these data and determine the most appropriate for their prevention and treatment options.

The neurology-psychiatry interface in epilepsy.

Epilepsy and mental illness have a bidirectional association. Psychiatrists are likely to encounter epilepsy as comorbidity. Seizures may present as mental illness. Equally, the management of psychiatric conditions has the potential to destabilise epilepsy. There is a need for structured epilepsy awareness and training amongst psychiatrists. This paper outlines key considerations around diagnosis, treatment and risk while suggesting practical recommendations.

Correction to: 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.

Correction to: 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.

Rebuttal From Dr Simon

I find myself in agreement with many of the points made by my colleagues on the “Pro” side of this discussion.1Fleishman SA Collop NA Aronsky AJ McCann KM Point: should board certification be required for sleep test interpretation? Yes.Chest. 2013; 144: 9-11Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar I agree that board-certified sleep medicine physicians (BCSMPs) possess the training and competence in sleep medicine to provide reliable interpretation of diagnostic tests, but I do not agree that this competence is unique to BCSMPs. For example, the performance of polysomnography (PSG) and PSG interpretation is a core competency in neurology fellowships.2American Board of Psychiatry & Neurology Psychiatry and Neurology Core Competencies Version 4.1. American Board of Psychiatry & Neurology website.http://www.abpn.com/downloads/core_comp_outlines/core_psych_neuro_v4.1.pdfGoogle Scholar And as we have demonstrated with the Walla Walla Project, referred to in my “Con” argument,3Simon Jr, RD Counterpoint: should board certification be required for sleep test interpretation?.No. Chest. 2013; 144: 11-13Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar others can be trained to successfully interpret sleep studies. Why should these trained physicians be denied the ability to read sleep studies? My fundamental utilitarian argument is that the number of patients with significant sleep disorders vastly exceeds the capacity of our medical system to care for them if only BCSMPs are permitted to read studies and care for such patients. My colleagues from the American Academy of Sleep Medicine (AASM) do not address this issue in their statement. They do bring up an argument that BCSMP consultation prior to PSG improves CPAP usage by 58 min a night in a cohort study,4Pamidi S Knutson KL Ghods F Mokhlesi B The impact of sleep consultation prior to a diagnostic polysomnogram on continuous positive airway pressure adherence.Chest. 2012; 141: 51-57Abstract Full Text Full Text PDF PubMed Scopus (55) Google Scholar but they do not address the fact that if consultations were required, the cohort that did not undergo consultation would likely have received no care for their OSA. A recent study from Australia suggests that OSA can be effectively managed in primary care with similar outcomes to those obtained in formal sleep centers.5Chai-Coetzer CL Antic NA Rowland LS et al.Primary care vs specialist sleep center management of obstructive sleep apnea and daytime sleepiness and quality of life: a randomized trial.JAMA. 2013; 309: 997-1004Crossref PubMed Scopus (143) Google Scholar I find myself in absolute agreement that formal education in sleep physiology and sleep disorders medicine is woefully inadequate in medical schools, residency programs, and fellowship programs.6Gamaldo CE Salas RE Sleep medicine education: are medical schools and residency programs napping on the job?.Nat Clin Pract Neurol. 2008; 4: 344-345Crossref PubMed Scopus (9) Google Scholar The AASM has worked to address this serious fault in academia,7Silber MH Academic sleep centers of the future: an achievable vision.Sleep. 2007; 30: 244-245PubMed Google Scholar but much more needs to be done both for health-care providers in training and health providers in practice. Humans spend 30% of their life sleeping; there are physiologic differences in nearly all systems between wake, non-rapid eye movement sleep, and rapid eye movement sleep, and there are serious sleep disorders that result in untold human suffering, disability, and premature death. It is absolutely unconscionable that extensive formal sleep physiology and sleep disorders medicine curricula are not an integral part of medical school training. A fundamental understanding of the physiology of sleep and of sleep-disorders medicine should be core competencies for all health-care providers. Rather that limiting the number of patients who have access to sleep-disorders medicine, which is what surely will happen if only BCSMPs can interpret sleep studies, it would seem to me that a better strategy would be to encourage health-care providers to obtain the knowledge that it takes to diagnose and treat patients with uncomplicated sleep disorders and to learn to refer those who either do not respond to therapy or who have complicated sleep studies to BCSMPs. Academic and clinical sleep centers should be cooperative in these efforts, and continued educational efforts should be supported by the American Academy of Sleep Medicine for health-care providers in training as well as those currently in practice so that the enormous number of patients with sleep disorders can be effectively diagnosed and treated.

Depression in post-communist Romania

Depression in post-communist Romania

Déjà vu

Déjà vu is a familiar phenomenon in neurology psychiatry, and everyday life. Assessment of its significance is helped by an acquaintance with the ambiguities of the term, and with the...

Flemish Society of Neurology–Psychiatry—Neurology Section: The role of X chromosome inactivation on the manifestation of Rett Syndrome

Flemish Society of Neurology–Psychiatry—Neurology Section: The role of X chromosome inactivation on the manifestation of Rett Syndrome

Flemish Society of Neurology–Psychiatry–Neurology Section

Flemish Society of Neurology–Psychiatry–Neurology Section

Integration of Information Between the Cerebral Hemispheres

ity in dichotic perception of vocal nonverbal sounds. Canadian Journal of Psychology, 26,111 116. Ladavas, E., Umilta, C, & Ricci-Bitti, P.E. (1980). Evidence for sex differences in right hemisphere dominance for emotions. Neuro psychologia, 18, 361-366. Landis, Tv Assal, G., & Perret, E. (1979). Opposite cerebral hemispheric superiorities for visual associative processing of emotional facial ex pressions and objects. Nature, 278, 739-740. Lang, P.J., Bradley, M.M., & Cuthbert, B.N. (1990). Emotion, attention, and the startle reflex. Psy chological Review, 97, 377-398. Ley, Rv & Bryden, M.P. (1982). Hemispheric dif ferences in processing emotions and faces. Brain and Language, 7,127-138. MacLean, P.D. (1949). Psychosomatic disease and the visceral brain'': Recent developments bearing on the Papez theory of emotion. Psy chosomatic Medicine, 11, 338-353. Nitschke, J.B., Heller, W., & Miller, G.A. (in press). The neuropsychology of anxiety. In J.C. Borod (Ed.), The neuropsychology of emotion. New York: Oxford University Press. Nitschke, J.B., Heller, W., Palmieri, P.A., & Miller, G.A. (1998). Contrasting patterns of brain activity in anxious apprehension and anxious arousal. Manuscript submitted for publication. Papez, J.W. (1937). A proposed mechanism of emotion. Archives of Neurological Psychiatry, 38, 725-743. Robinson, R.G., Kubos, K.L., Starr, L.B., Rao, K., & Price, T.R. (1984). Mood disorders in stroke patients: Importance of location of lesion. Brain, 107, 81-93. Rourke, B.P. (1988). The syndrome of Nonverbal Learning Disabilities: Developmental manifes tations in neurological disease, disorder, and dysfunction. Clinical Neuropsychologist, 2, 293 330. Semrud, CM., & Hynd, G.W. (1990). Right hemi sphere dysfunction in nonverbal learning dis abilities: Social, academic, and adaptive func tioning in adults and children. Psychological Bulletin, 107, 196-209.

BOOK REVIEWS

Book reviewed in this article:Innovations in Employment Training and Work for People with Learning Difficulties Ray McConkey and Patrick McGinley (eds).Mental Health Act Manual Richard Jones (3rd edn).Preventing Mental Illness in Practice Jennifer NewtonThe Community Revolution: Personal Social Services and Community CareCommunity Care: Managing the Cascade of ChangeHomeward Bound: A New Course for Community HealthMotor Disorder in Psychiatry: Towards a Neurological Psychiatry Daniel Rogers. Chichester: John Wiley & SonsThe Effects of Mental Retardation, Disability and Illness on Sibling Relationships: Research Issues and Challenges Zolinda Stoneman and Phyllis Waldman Berman (eds).Group Homes and Community Integration of Developmentally Disabled People: Micro‐institutionalisation? Janice C. Sinson.Quality Counts: Achieving Quality in Social Care Services Des Kelly and Bridget Warr (eds).

Motor disorders in psychiatry: Towards a neurological psychiatry, Daniel Rogers. John wiley 8t sons, ltd., Chichester, 1992. No. Of pages: 159. Price: £24.95

<i>Motor disorders in psychiatry: Towards a neurological psychiatry</i>, Daniel Rogers. John wiley 8t sons, ltd., Chichester, 1992. No. Of pages: 159. Price: £24.95

BOOK REVIEWS: Motor Disorder in Psychiatry. (Towards a Neurological Psychiatry.)

BOOK REVIEWS: Motor Disorder in Psychiatry. (Towards a Neurological Psychiatry.)

Book reviews

Journal Article Book reviews Get access Motor Disorder in Psychiatry. Towards a Neurological Psychiatry. By Daniel Rogers . 1992 Pp. 159. Chichester. John Wiley & Sons. Price £24.95. S. FLEMINGER S. FLEMINGER Search for other works by this author on: Oxford Academic PubMed Google Scholar Brain, Volume 116, Issue 5, October 1993, Pages 1275–1278, https://doi.org/10.1093/brain/116.5.1275 Published: 01 October 1993

Toward a neurological psychiatry

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Year Book of Neurology Psychiatry and Neurosurgery

Year Book of Neurology Psychiatry and Neurosurgery

Neurology—Psychiatry.By Peter Bassoe, M. D., and Franklin G. Ebaugh, M. D. (Chicago, Ill.: The Year Book Publishers, Inc., 1931.)

Back to table of contents Previous article Next article ARTICLENo AccessNeurology—Psychiatry. By Peter Bassoe, M. D., and Franklin G. Ebaugh, M. D. (Chicago, Ill.: The Year Book Publishers, Inc., 1931.)A. J. KilgourA. J. KilgourSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.89.3.642AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Neurology—Psychiatry. By Peter Bassoe, M. D., and Franklin G. Ebaugh, M. D. (Chicago, Ill.: The Year Book Publishers, Inc., 1931.)." American Journal of Psychiatry, 89(3), pp. 642–643 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byNone Volume 89Issue 3 November 1932Pages 642-643 Metrics PDF download History Published online 1 April 2006 Published in print 1 November 1932

Contributions to Psychiatry Neurology, and Sociology

Contributions to Psychiatry Neurology, and Sociology