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Articles 1 - 30 of 87
Full-Text Articles in Medicine and Health Sciences
Evidence-B(I)Ased Medicine: Limitations And Non-Superstition-Based Alternatives, Joshua S. Green M.D., Ph.D. (Pgy4)
Evidence-B(I)Ased Medicine: Limitations And Non-Superstition-Based Alternatives, Joshua S. Green M.D., Ph.D. (Pgy4)
Jefferson Journal of Psychiatry
The Evidence-Based Medicine (EBM) movement crystallized in the early 1990's at McMaster University in Canada. The movement originally challenged practitioners to validate their treatments based on reasoning and clinical studies rather than personal authority. In this essay, I will argue that, contrary to this wholesome intention, EBM is authoritarian in spirit and actually constricts discourse about how to make clinical decisions.
Diphenhydramine-Dependence Resulting From Self-Medication Of Antipsychotic- Induced Extrapyramidal Symptoms, Faisal S. Shaikh M.B.B.S., Ann M. Mortimer M.D.
Diphenhydramine-Dependence Resulting From Self-Medication Of Antipsychotic- Induced Extrapyramidal Symptoms, Faisal S. Shaikh M.B.B.S., Ann M. Mortimer M.D.
Jefferson Journal of Psychiatry
Antipsychotic-induced extrapyramidal symptoms should be recognised and adequately treated. We report an unusual complication of not doing so: a patient’s self-medicating to control these symptoms, which produced diphenhydramine-dependence.
Dissociative-Like Spells In A Child With Neurofibromatosis (Type 1), Gregory M. Singleton M.D. (Pgy2), Ann M. Lagges Ph.D., Karen G. Meighen M.D.
Dissociative-Like Spells In A Child With Neurofibromatosis (Type 1), Gregory M. Singleton M.D. (Pgy2), Ann M. Lagges Ph.D., Karen G. Meighen M.D.
Jefferson Journal of Psychiatry
Neurofibromatosis, type 1, (NF1) is a common neurocutaneous disorder of childhood. Little is known about the psychiatric aspects of the condition. We present the case of a 10-year-old male with NF1 and complex spells. For two years he had been experiencing self-limited paroxysms of auditory and visual hallucination, assaultiveness, excited undressing, and amnesia. The spells have been refractory to multiple treatments, including antipsychotic medication. The question remains whether this episodic amnestic disorder is comorbid with NF1 or is caused by it.
A Major Event Of Self-Mutilation In A Patient With Fetal Alcohol Syndrome, Joel P. Johnson M.D. (Pgy4), Steven Sugden M.D., James A. Bourgeois O.D., M.D.
A Major Event Of Self-Mutilation In A Patient With Fetal Alcohol Syndrome, Joel P. Johnson M.D. (Pgy4), Steven Sugden M.D., James A. Bourgeois O.D., M.D.
Jefferson Journal of Psychiatry
We describe a young adult male with fetal alcohol syndrome (FAS) who presented with a non-repetitive, major, genital self-mutilation necessitating urological intervention. On formal psychiatric evaluation, he did not have psychosis or suicidality. Most commonly, self-injury in developmental disability is less severe and more stereotypic; major-class self-mutilation is confined, generally, to psychosis. It is this discrepancy that is the unusual feature of our case.
Autocastration And Autoamputation Of The Penis In A Patient With Delusions Of Sexual Guilt, Craig B. Franke M.D. (Pgy4), James A. Rush M.D. (Pgy3)
Autocastration And Autoamputation Of The Penis In A Patient With Delusions Of Sexual Guilt, Craig B. Franke M.D. (Pgy4), James A. Rush M.D. (Pgy3)
Jefferson Journal of Psychiatry
Genital self-mutilation (GSM) is a rare event that is commonly associated with psychotic disorders; we report an occurrence in the context of psychosis and drug use. We also review the etiologies of this phenomenon and how these etiologies differ across gender.
Clozapine, Fluoxetine, And Benztropine- Associated Ileus: Case Report, Pegah Pajouhi M.D. (Pgy1), James A. Bourgeois O.D., M.D.
Clozapine, Fluoxetine, And Benztropine- Associated Ileus: Case Report, Pegah Pajouhi M.D. (Pgy1), James A. Bourgeois O.D., M.D.
Jefferson Journal of Psychiatry
Gastrointestinal complications of anticholinergic medications are prevalent, potentially life-threatening, and could be more actively prevented. We present a case report of an ileus that required surgical intervention and developed in the context of clozapine, benztropine, and fluoxetine use. The case exemplifies the potential anticholinergic toxicities of clozapine and benztropine as well as possible pharmacokinetic interactions between fluoxetine, clozapine, and benztropine. We discuss ways to minimize the likelihood of anticholinergic complications with these medications.
Traumatic Carotid-Cavernous Fistula:Clinical Presentation And Outcome, Atta A. Bhatti, S. Soulat Raza, Ehsan Bari, S. Ather Enam, Tanveer Ul Haq, Zafar Sajjad
Traumatic Carotid-Cavernous Fistula:Clinical Presentation And Outcome, Atta A. Bhatti, S. Soulat Raza, Ehsan Bari, S. Ather Enam, Tanveer Ul Haq, Zafar Sajjad
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Neurosurgical Training In Pakistan, Syed Ather Enam
Neurosurgical Training In Pakistan, Syed Ather Enam
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Role Of Video-Eeg Monitoring In Themanagement Of Intractable Seizures Andnon-Epileptic Spells, Mughis Sheerani, Ali Hassan, Ameer Jan, Royala Zaka
Role Of Video-Eeg Monitoring In Themanagement Of Intractable Seizures Andnon-Epileptic Spells, Mughis Sheerani, Ali Hassan, Ameer Jan, Royala Zaka
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Etiology And Disturbance Of Consciousnessin Stroke: A Hospital-Based Study, Hamzullah Khan, Muhammad Zarif
Etiology And Disturbance Of Consciousnessin Stroke: A Hospital-Based Study, Hamzullah Khan, Muhammad Zarif
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Fluorosis: A Rare Cause Of Spinal Cordcompression, Maimoona Siddiqui, Azra Zafar, M. Salman, Yaseen Pathan
Fluorosis: A Rare Cause Of Spinal Cordcompression, Maimoona Siddiqui, Azra Zafar, M. Salman, Yaseen Pathan
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Vasculitic Neuropathy Secondary Topolyarteritis Nodosa In Association Withhepatitis B Antigenemia, Azra Zafar, Farrukh Shohab Khan, Syed Mehfooz Alam, Feroza Saleem
Vasculitic Neuropathy Secondary Topolyarteritis Nodosa In Association Withhepatitis B Antigenemia, Azra Zafar, Farrukh Shohab Khan, Syed Mehfooz Alam, Feroza Saleem
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Neurology, Ayeesha K. Kamal
Neurology, Ayeesha K. Kamal
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Neuroradiology, Zafar Sajjad
Neuroradiology, Zafar Sajjad
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Psychiatry, Syed Ahmer
Psychiatry, Syed Ahmer
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
14thannual Meeting Pakistan Society For Neurologyapril 5-6, 2008peshawar, Pakistan
14thannual Meeting Pakistan Society For Neurologyapril 5-6, 2008peshawar, Pakistan
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Download The Pdf Of The Entire Issue
Download The Pdf Of The Entire Issue
Jefferson Surgical Solutions
No abstract provided.
More Veggies, Less Breast Cancer: Unlocking One Secret To Prevention
More Veggies, Less Breast Cancer: Unlocking One Secret To Prevention
Jefferson Surgical Solutions
No abstract provided.
Comprehensive Breast Program Continues To Set The Trend
Comprehensive Breast Program Continues To Set The Trend
Jefferson Surgical Solutions
No abstract provided.
Heart Transplant Program Offers A New Lease On Life
Heart Transplant Program Offers A New Lease On Life
Jefferson Surgical Solutions
No abstract provided.
Medically Unexplained Symptoms, Murad M Khan
Medically Unexplained Symptoms, Murad M Khan
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Marriage Patterns And Pediatric Neurologicdisease In Damascus, Syria, Muhammad Talal Al-Rifai, Robert C. Woody
Marriage Patterns And Pediatric Neurologicdisease In Damascus, Syria, Muhammad Talal Al-Rifai, Robert C. Woody
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Pituitary Gland Volume On Magneticresonance Imaging: Normative Observations, Muhammad Faisal Ikram, Zafar Sajjad, Ishrat S. Shokh, Amir Omair
Pituitary Gland Volume On Magneticresonance Imaging: Normative Observations, Muhammad Faisal Ikram, Zafar Sajjad, Ishrat S. Shokh, Amir Omair
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.