Medicine and Health Sciences Commons^™

Importance Of Geriatrics In Psychiatric Postgraduate Education, Dr Anand R, Dr Kishor M, Dr Murali M R

Digital Journal of Clinical Medicine

Introduction

To assess the importance of Geriatrics in Psychiatric postgraduate education

Methodology

Marks allotted in question papers from Geriatrics in Psychiatry postgraduate examination from a university for a 5-year period was evaluated.

Discussion

1-6% of entire theory evaluation was related to Geriatric mental health topics predominantly on dementia and related disorders.

Bitten To The Bone: A Case Of Anxiety-Induced Osteomyelitis, Jose A. Rivera, Daniel Aragon, Daniela Hernandez

Research Symposium

Background: Onychophagia is a habitual nail-biting disorder, usually associated with mental or emotional diseases. It affects 20–30% of the population in all age groups. Human bites have the potential to become serious injuries due to high virulence in the human oral flora and may often require hospital admission, antibiotics and even debridement in the operating room. Thus, repetitive nail biting has the potential to be limb-threatening if not treated early and appropriately.

Case Presentation: Patient is a 49-year-old gentleman with a past medical history of severe refractory anxiety treated with hydroxyzine and scheduled alprazolam, after failing multiple other treatments, …

Developing An Interprofessional Community Psychiatry Rotation Using An Assertive Community Treatment Team Model: A Preliminary Evaluation, Ruth Frydman

Journal of Maine Medical Center

Introduction: There is a shortage of psychiatric providers trained to work in community settings with people with serious mental illness (SMI) and associated comorbidities. We designed an innovative psychiatry rotation and curriculum for psychiatry residents and other learners.

Methods: The rotation incorporates working with our Assertive Community Treatment team and includes home visits, assertive outreach, and visits in other community settings. It was designed to improve learners’ confidence in their understanding and skill set for working with and treating people with SMI in the community on an interprofessional (IP) team. This pilot quality improvement project evaluated psychiatry resident responses to …

Understanding The Acceptability And Effect Of Psychiatric Care Via Telemedicine As An Alternative Option For Patients Living With Intellectual Disabilities In Group Homes, Brittany M. Johnson, Annabelle J. Rowland, Jacob D. Coeur, Maxwell C. Klapow, Jean F. Pointon

Cooper Rowan Medical Journal

Telemedicine has become a popular alternative to in-person clinic visits in the field of psychiatry, but few studies examine the impact of telemedicine mental healthcare provided to patients with intellectual disabilities living in group homes. Our study aims to fill this gap in the literature. A ten-question survey was designed to evaluate the effect of telemedicine services on access to care, quality of care, and patient and caregiver stress. This survey was distributed to caregivers of patients living in group homes who received care at the University of Alabama Medical Center. The majority of respondents indicated that telemedicine visits improved …

Prevalence Of Neurological Manifestations And Complications Of Covid-19 In Menoufia Governorate, Rasha A. El-Kapan, Mostafa S. Melake, Asmaa M. Sharshar, Ahmed N. Mounir

Menoufia Medical Journal

Objectives: to define any neurological manifestations & problems of definite covid-19 infection patients, & its relation with onset and evolution of the infection.

Background: Spread of COVID- 19 infections has been rapid in both low- & high-income countries. Outbreak of respiratory disease took place in China in December 2019, & it later spread to other countries. Acute neurological insults are more likely in studied cases who are badly infected.

Patients and methods; study is cross sectional research. Data was obtained from the archived files of the selected Covid-19 patients, in addition to patient who admitted at Isolated ICU and inpatient …

The End Of Roe V. Wade: Implications For Women's Mental Health And Care, Amalia Londoño Tobón, Eileen Mcnicholas, Camille A Clare, Luu D Ireland, Jennifer L Payne, Tiffany A Moore Simas, Rachel K Scott, Madeleine Becker, Nancy Byatt

Marcus Institute of Integrative Health Faculty Papers

The Supreme Court decision in Dobbs v. Jackson in June 2022 reversed precedent which had previously protected abortion prior to fetal viability as a universal right within the United States. This decision almost immediately led to abortion restrictions across 25 states. The resulting lack of access to abortion care for millions of pregnant people will have profound physical and mental health consequences, the full effects of which will not be realized for years to come. Approximately 1 in 5 women access abortions in the U.S. each year. These women are diverse and represent all American groups. The Supreme court decision, …

Implementing An Emr System In A Small Psychiatric Practice, Brandy Mccrudden

Doctor of Nursing Practice Projects

Electronic medical records (EMRs) can aid in improving surveillance, monitoring, adherence to practice guidelines, improving communication, and reducing medical errors. The adoption of EMRs in psychiatry and mental health settings has been slow despite the offered benefits. This project aimed to develop an implementation and training plan to successfully transition from paper charts to EMRs in a psychiatry practice. An extensive literature review was conducted on the adoption of EMRs in mental health settings, and a guideline for implementation was created to overcome identified barriers. Implementation guidelines included a planning phase, staff training plan, and rollout using a phase-in approach. …

Implementation Of A Peer Mentoring-Network Initiative In Outpatient Psychiatry To Improve Psychiatric Advanced Practice Nurses' Job Satisfaction, Maria Romanoff Rand

Doctor of Nursing Practice Scholarly Projects

Background: Post-pandemic rates of mental illness have increased, resulting in a rise in demand for psychiatric services. At the same time, a growing shortage of psychiatric providers is occurring. This combination has given rise to an expanding mental health crisis where strengthening and stabilizing the psychiatric workforce is paramount. Psychiatric Advanced Practice Nurses are uniquely qualified to staff this shortage. Therefore, positive job satisfaction for Psychiatric Advanced Practice Nurses is vital to increase and retain psychiatric healthcare providers available to address this critical need for mental health services.

Methods: At the project site, the shift to telehealth, changing leadership, and …

Longitudinal Assessment Of Pharmacy Student Attitudes Towards Mental Illness, Jessica Dillon

Honors Scholar Theses

Background: Mental health stigma in providers is one of the greatest barriers in effective care in psychiatric patients. When patients feel stigma towards them, they have lower levels of self-esteem and lower medication adherence. When training healthcare providers, specifically pharmacists, it is important to assess the effectiveness of training at reducing stigma levels. Previous studies have shown that didactic teaching does not significantly decrease stigma in pharmacy students. However, other studies have shown that students who participated in psychiatric rotations have less stigma surrounding mental health following the rotation. Currently there are no studies that assess the same students’ stigma …

Reflections On The Use Of Patient Records: Privacy, Ethics, And Reparations In The History Of Psychiatry, Jonathan Sadowsky

Faculty Scholarship

One of the most common questions we get asked as historians of psychiatry is “do you have access to patient records?” Why are people so fascinated with the psychiatric patient record? Do people assume they are or should be available? Does access to the patient record actually tell us anything new about the history of psychiatry? And if we did have them, what can, or should we do with them? In the push to both decolonize and personalize the history of psychiatry, as well as make some kind of account or reparation for past mistakes, how can we proceed in …

“I Was Reaching Out For Help And They Did Not Help Me”: Mental Healthcare In The Carceral State, Anna Grace Preston

Public Health Theses

Background: Despite the limitations the carceral environment may impose on mental wellness, mental healthcare is increasingly becoming a carceral endeavor. Over the course of the last several decades, prisons and jails have become the de facto mental healthcare provider for thousands of incarcerated individuals. Furthermore, practices like mandated mental healthcare for supervised individuals further broaden the population experiencing mental healthcare within the criminal legal system at large. This study examines the perspectives of nine individuals who experienced mental healthcare within the carceral state, whether in prison or on parole or probation, with a special focus on how attributes of the …

Implementing An Arts And Humanities Curriculum In A Psychiatry Residency: A One-Year Investigation, Christopher Rogers, Briana Tillman, Matthew Adamson, Christine Wahlmeier

Continental, MidAmerica, & Mountain Divisions Research Day 2023

No abstract provided.

Mind Matters : Vol 1, Issue 1 - 2023, Department Of Psychiatry

Mind Matters

• Message from the Chair
• Meet our Faculty Members
• Non-full-time Faculty Members
• Professor Emeritus
• Visiting Faculty
• Psychiatry Services
• Allied Services
• Occupational Therapists
• Outreach Services
• Education Activities / CME
• Conferences & Workshops
• Quality Improvement Initiatives
• PGME Activities/Achievements
• Meet Our Residents & Fellows
• UGME Activities
• Research Activities
• Key Achievements
• Upcoming Event
• Newsletter Editors

Treatment Of Anxiety By Transcutaneous Vagus Nerve Stimulation: A Retrospective Chart Review, Rhea Gandhi

CMC Senior Theses

Surgical vagus nerve stimulation (VNS) was FDA cleared for depression (2005) and epilepsy. (1997). In the surgical procedure, a pacemaker is implanted below the collarbone (clavicle) and connected to the vagus nerve in the neck. Transcutaneous vagus nerve stimulation (tVNS) is a non-surgical alternative to VNS and there is evidence supporting its effectiveness for several conditions. Advantages include lower cost and fewer adverse side effects.

Anxiety is tied to excess or unopposed sympathetic nervous system activity, while the parasympathetic nervous system, especially the vagus nerve, is relatively underactive. This study aimed to investigate a potential impact of regular tVNS stimulation …

Prevalence Of Postpartum Depression And Anxiety Among Women Who Got Infected With Covid-19 During Pregnancy, Muhammad Elsayed Hamed Ahmad, Mohamed Mohamed Ali Elsheikh, Ismail Sayed Mohamed Sadek, Mohammed Mahmoud Abdalrahman Hamouda

Al-Azhar International Medical Journal

Background: Globally, mental health has been severely impacted by the COVID-19 pandemic. Recent research has linked the SARS-CoV-2 virus's transmission to anxiety and depressive symptoms, which are most common in postpartum women.

Aim of the work: To detect prevalence of post-partum depression and anxiety among women who got infected with COVID-19 virus during their pregnancy period.

Patient and methods: This observational prospective study was conducted at psychiatry, pulmonology, gynecology & obstetric clinics in addition to isolation wards at Al-Azhar University hospitals in the period from beginning of Jan. 2022 for 6 months. Thirty-five postpartum women infected with COVID-19 virus while …

Psychological Variables, Beliefs And Barriers Associated With Willingness Of Healthcare Providers To Be Vaccinated Against Covid-19 Virus, Mohammed Faris El-Metwally Samra, Hesham Mahmoud Mohamed Abuhegazy, Mohamed Mohamed Abd-Elkhalik El-Deeb

Al-Azhar International Medical Journal

Background: The coronavirus disease 2019 (COVID-19) vaccine appears to be a necessary component to halt the spread of the pandemic. HCWs are among the groups with the greatest risk of contracting an infection. Aim and objectives: Aim of the study was to investigate beliefs and barriers related to covid 19 vaccine and to correlate it with anxiety, depression and stress levels between vaccinated and unwilling to be vaccinated healthcare providers.

Patients and methods: This was a comparative cross-sectional analytical study between vaccinated and unvaccinated healthcare workers.

Results: As regard Relation between being vaccinated or not and DASS-21, 7.5% of total …

Effects Of Repetitive Transcranial Magnetic Stimulation (Rtms) On Craving In Substance Use Disorder Patients, Abdulrahman Nasr Sayedahmed Ziada, Hesham Mahmoud Mohamed Abuhegazy, Ismail Sayed Sadek, Mohammed Mahmoud Abdalrahman Hamouda

Al-Azhar International Medical Journal

Background: Substance abuse has a variety of causes. It consists of environmental, biological, sociocultural, and biological aspects.

Aim: This study's main goal was to investigate how recurrent high-frequency transcranial magnetic stimulation (rTMS) affected people with substance use disorders' desire (DLPFC).

Methods: This interventional study was conducted in El Hussein hospital outpatient clinic through 6 months. This study was conducted on 30 including. All patients were divided into 2 groups: sham group included 15 patients and active group included 15 patients.

Results: The Follow-up Desire to Use Substances ranged from 4 to 7 in the Sham group with a mean and …

Effect Of Positive Emotion Intervention During Late Pregnancy On Improving Colostrum Secretion: A Randomised Control Trial Protocol, Kechen Xu, Ying Xie, Xiujun Han, Ying Yu, Suqing Liu, Suliu Wu, Qian Yang, Qi Zhang

Community & Environmental Health Faculty Publications

Introduction Though evidence has revealed the beneficial effects of cognitive improvement interventions on breastfeeding, the effect of psychological interventions has rarely been studied. This study aims to test whether promoting a positive emotion intervention, 'Three Good Things' intervention, during the last trimester of pregnancy can enhance early colostrum secretion and breastfeeding behaviours by modulating the hormones associated with lactation (prolactin and insulin-like growth factor I). We will attempt to promote exclusive breastfeeding by using physiological behavioural measures.

Methods and analysis This study is designed as a randomised controlled trial conducted in the Women's Hospital School of Medicine at Zhejiang University …

A Comparative Study Of Clinical Profile Of Hospitalized Covid-19 Patients In Relation To Their Vaccination Status, Nisha Kaithwas, Garima Agrawal Varshney, Mohit Garg, Piyush Mishra Statistician, Soumitra Sethia

Journal of Medicine in Scientific Research

Background: The clinical picture, outcome of Covid-19 infection and vaccine effectiveness vary in different individuals. These may depend on multiple variables like age, sex, comorbidities, and immune status against the virus and in general. Objective: To describe demography, clinical profile, vaccination status and its impact on clinical outcome of hospitalized Covid-19 patients. Methods: This retrospective study was conducted on hospitalized Covid-19 patients of N.S.C.G.M.C. Khandwa, a tertiary care centre from central India. We studied 188 Covid-19 positive admitted patients’ demographic profile, clinical profile, co-morbidity, vaccination status, clinical outcome and association of these variables to their vaccination status during second Covid-19 …

Prevalence Of Psychiatric Manifestations In A Sample Of Healthcare Workers During Covid-19 Pandemic In Al-Azhar University Hospitals, Mohammad Farid Ibrahim Hassan, Mohamed Ahmed Lotfy Kamal, Amgad Ahmed Meshref Gabr

Al-Azhar International Medical Journal

Background: Health care workers may be particularly vulnerable to adverse psychological outcomes during COVID-19 pandemic. Aim of the Work: to investigate the prevalence of symptoms of depression among a sample of Al-Azhar university hospitals doctors and nurses. Patient and Methods: This study was conducted on 193 healthcare workers in Al Azhar University hospitals, Cairo. Each participant included in the study was subjected to demographic data collection, assessment of psychiatric symptoms using symptoms checklist scale and semi-structured clinical Interview - DSM-IV. Results: The study showed higher incidences of depressive disorders, anxiety disorders and obsessive-compulsive disorders among female workers followed by female …

Prevalence Of Post Covid Psychiatric Symptoms In Sample Of Recovered Patients, Reda Roshdy Mahmoud Mohammed, Mohamed Elsayed Elmetwalli Elsayed Elbasyouni, Mohammed Mahmoud Abdalrahman Hamouda, Ismail Sayed Mohamed Sadek

Al-Azhar International Medical Journal

Background: Coronavirus disease (COVID-19) is a new strain that was never recognized in humans before. It was discovered in 2019 and its common signs include fever, respiratory symptoms; cough and dyspnea.

Aim of the Work: To investigate whether there are any psychiatric symptoms in patient who got COVID-19 infection or not. Subjects and Methods: This case control involved 132 subjects divided into a case group of 66 patients who were treated in tertiary care at Al-Hussein and Sayed Galal Hospitals, Al-Azhar University and a control group of another 66 patients who didn’t get infection. The Symptom Checklist 90 Revised (SCL-90-R) …

Age-Related Differences In Accelerometer-Assessed Physical Activity And Sleep Parameters Among Children And Adolescents With And Without Autism Spectrum Disorder: A Meta-Analysis, Xiao Liang, Justin A. Haegele, Sean Healy, Andy Choi-Yeung Tse, Hui Qiu, Shi Zhao, Chunxiao Li

Human Movement Sciences Faculty Publications

Importance: Physical inactivity and sleep disorders are health-related concerns of youth with autism spectrum disorder (ASD) that can persist from childhood and exacerbate core symptoms. However, evidence on group differences in accelerometer-assessed physical activity and sleep parameters among youth with and without ASD is inconclusive and age-specific effects remain unclear.

Objective: To synthesize evidence on group differences in accelerometer-assessed physical activity and sleep parameters and examine the moderating effects of age between children and adolescents with and without ASD.

Data Sources: American Psychological Association PsychInfo, CINAHL Ultimate, ERIC, MEDLINE, SPORTDiscus with Full Text, and Web of Science from inception to …

Depression Secondary To Isotretinoin – A Case Report, Rohan Karkra, Megha Sadashiv, Kishor M

Digital Journal of Clinical Medicine

Depression is one of the leading causes of morbidity in the world and significantly affects the lives of people suffering from it. The exact cause of depression has not been established and it is believed to be a complex play between various social, biological, environmental, personal factors. A relatively rare but distinct cause includes pharmacological agents.

In this case report, we describe the case of a 17-year-old girl who developed depression with psychotic symptoms on two occasions, both preceded by a history of Isotretinoin use. She was admitted and treated with anti-psychotics and psychotherapy with significant improvement in her mental …

Patterns Of Suicide And Self-Harm In Pakistan: A Retrospective Descriptive Study Protocol, Nargis Asad, Shahina Pirani, Summaiya Tariq, Asra Qureshi, Mohammad Zaman, Mustafa Aslam, Farhat Mirza, Murad M. Khan

Department of Psychiatry

Introduction: Suicide is a major global public health problem. Low-income and middle-income countries contribute 78% of all suicidal deaths. Pakistan, a South Asian country, lacks official statistics on suicides at national level. Statistics on suicide are neither collected nationally nor published in the annual national morbidity and mortality surveys. Medicolegal reports on suicides and self-harm are extremely rich and important source of information but greatly underused in Pakistan. We aim to examine the patterns of suicides and self-harm retrospectively in patients who were registered with medicolegal centres (MLCs) in Karachi, during the period January 2017 to December 2021.
Methods and …

Understanding The Mental Health Impact And Needs Of Public Healthcare Professionals During Covid-19 In Pakistan : A Qualitative Study, Waqas Hameed, Anam Shahil Feroz, Bilal Iqbal Avan, Bushra Khan, Zafar Fatmi, Noreen Afzal, Hussain Jafri, Mansoor Ali Wassan, Sameen Siddiqi

Community Health Sciences

Objectives: A dearth of qualitative studies constrains in-depth understanding of health service providers' perspectives and experiences regarding the impact of COVID-19 on their mental health. This study explored the mental health impact and needs of of public sector healthcare workers during COVID-19 who working in secondary-level and tertiary-level healthcare settings of Pakistan.
Design: An exploratory qualitative study.
Setting: Twenty-five secondary-level and eight tertiary-level public hospitals of Sindh and Punjab provinces of Pakistan.
Participants: In-depth interviews were conducted with 16 health service providers and 40 administrative personnel. Study data were analysed on NVivo V.11 using the conventional content analysis technique.
Results: …

Conference Proceedings: Select Abstracts Presented At Advocate Aurora Scientific Day 2022

Journal of Patient-Centered Research and Reviews

The abstracts published in this supplement were presented at the 48th annual Advocate Aurora Scientific Day on May 25, 2022. This scholarly symposium provides a closed forum for sharing preliminary results from research studies conducted by faculty physicians and nurses, fellows, residents, scientists, and other health professionals associated with U.S. Midwest-based health system Advocate Aurora Health, publisher of the Journal of Patient-Centered Research and Reviews.

Implementation Of Nurse Navigators For Behavioral Health, Theresa Papagna

Seton Hall University Dissertations and Theses (ETDs)

Mental health patients have been notoriously non-adherent with diligent medication conformity, office visit fidelity, candor about side effects, use of illegal substances for self-medication, and truthfulness about co-occurring conditions. This non-adherence makes treatment difficult for psychiatric providers, and all those who participate in the care of patients with mental illness. Patient non-adherence can cause frustration and can lead to provider burnout, which affects patients as well as providers. Also, there are concerning financial implications of excessive time and resources needed to adequately monitor mental health patients. Implications regarding 30- day re-admissions are tantamount to consideration of financial strains put on …

Systematic Suicide Screening In A General Hospital Setting: Process And Updated Results 10-Year Data Review, Evan Becker, Sarah Williams, Udema Millsaps, Andres Pumariega, Kolin Good, Eduardo Espiridion

Tower Health Research Day

No abstract provided.

Pandas: How To Recognize And Intervene, Trevor Brackney, Blaine Winters

Student Works

This research paper delves into pediatric autoimmune neuropsychiatric disorder associated with streptococcus (PANDAS). PANDAS causes rapid psychiatric changes in children ages 3 to puberty. These changes are most often obsessive-compulsive disorder (OCD) and/or tics, however, anxiety, agitation, mood disorder, depression, oppositional defiance disorder, attention-deficit hyperactivity disorder, hallucinations, memory/cognitive deficits, enuresis, and sleep disturbances have also been noted. Present-day estimations of PANDAS cases would likely prove to be understated if awareness of PANDAS increased (Centner, 2021). The purpose of this paper is to disseminate awareness and data of a disease that has gone relatively unnoticed in American medicine since being defined …

Psychiatry Training In Autism Spectrum Disorder And Intellectual Disability: Ongoing Gaps And Emerging Opportunities, Natasha Marrus, Kathleen A. Koth, Jessica A. Hellings, Rachel Mcdonald, Mcleod Frampton Gwynette, Rebecca Muhle, William D. Lohr, Roma A. Vasa

2020-Current year OA Pubs

Children, adolescents, and adults with autism spectrum disorder and intellectual disability experience high rates of co-occurring psychiatric conditions throughout their lifetime. However, there is a shortage of psychiatrists to treat these populations. We evaluated how much education psychiatrists-in-training receive on how to care for individuals with autism spectrum disorder/intellectual disability. We found that in many psychiatry programs, residents receive limited training experiences in autism spectrum disorder/intellectual disability involving lectures and patient contact and that psychiatry program directors would benefit from more resources to strengthen education in autism spectrum disorder/intellectual disability.