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November 2005 News and Blog Posts (11)

MR imaging unveils one source of dementia

(PSYCHIATRIC TIMES) - Debate on the association between dementia and cerebrovascular disease is as old as imaging itself. Although the causes of dementia are multiple, some imagers consider cerebrovascular disease to be one of the most relevant.



Dr. Aart Spilt and colleagues at the University Medical Center of Leiden in the Netherlands explored the connection between structural brain damage and total cerebral blood flow. They prospectively enrolled 17 elderly patients with late-onset… Continue

Added by psychiatryRounds Psychiatry News on November 2, 2005 at 2:00am — No Comments

Postpartum Anxiety or Depression? Diagnosis and Treatment in Nursing Mothers

(PSYCHIATRIC TIMES) - Women with postpartum depression frequently experience intrusive, obsessive ruminations that are part of a depressive episode.1 Many women with postpartum depression have significant anxiety, and many reach the level of meeting criteria for full-blown anxiety disorders.2 An anxiety disorder may also precede and contribute to the development of a depressive episode.

Case Presentation



Mrs A, a 39-year-old married mother of 3 children aged 5 years, 3 years,… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 8:30pm — No Comments

Insights Into Depression and Anxiety: What Roles Do Anxiety Disorders Play in the Treatment of Depression?

(PSYCHIATRIC TIMES) - To earn Category 1 credit, read the article, "What Roles Do Anxiety Disorders Play in the Treatment of Depression?" a supplement to Psychiatric Times, November 2005. Please note: Credit available to those who received a print copy of this supplement. Supplement/article is not available on-line.



Then, use our new CME Lifelong Learning Site to get instant credit with these simple steps:



1. Click "Please Sign In for this Activity" at the bottom of the… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 8:30pm — No Comments

AAN Releases New Clinical Recommendations About Stroke and Epilepsy

(PSYCHIATRIC TIMES) - Two new recommendation papers--one on the use of serum prolactin (PRL) in the differential diagnosis of epileptiform seizures and the other on use of carotid endarterectomy (CE) in stroke prevention--were released this past September by subcommittees of the American Academy of Neurology (AAN).



SERUM PRL ASSAY FOR DIFFERENTIATING EPILEPTIC SEIZURES



Although the use of serum PRL assay in the differential diagnosis of epileptiform seizures is being… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 8:30pm — No Comments

National Survey Shows High Prevalence of Impulse Control Disorders

(PSYCHIATRIC TIMES) - Although most previous epidemiological surveys of mental disorders in adults neglected to track such impulse control disorders as attention-deficit/ hyperactivity disorder, intermittent explosive disorder (IED), conduct disorder (CD) and oppositional defiant disorder (ODD), the recently completed National Comorbidity Survey Replication (NCS-R) found that their combined lifetime prevalence is higher than that for either mood disorders or substance use… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 5:30am — No Comments

Fostering Careful Peripartum CareCritical Issues in Perinatal Psychiatric Emergency Care Postpartum Anxiety

(PSYCHIATRIC TIMES) - Editorial

RACHEL LIPSON GLICK, MD

Clinical Strategies

LINDA H. CHAUDRON, MD, MS

Clinical Case Presentations

SHAILI PATEL, MD, LINDA H. CHAUDRON, MD, MS

For full article, please visit:
http://www.psychiatrictimes.com/bipolar-disorder/article/10168/55546

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 5:00am — No Comments

Caregivers and Neurologists: Partnering Effectively

(PSYCHIATRIC TIMES) - When Tom Stedman (not his real name), a retired engineer who had suffered several strokes and whose dementia had started to progress, could no longer live independently, his children held a series of family meetings. John Stedman, the eldest of the 6 Stedman children, and his wife Sharon, volunteered to take Tom into their home. John's siblings--young middle-aged adults with careers and families--agreed, but only on the condition that when John and Sharon needed help they… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 2:30am — No Comments

Developing Technology for People with Dementia

(PSYCHIATRIC TIMES) - Home computers, personal organizers, cell phones and microwave ovens are now commonplace. We are increasing the use of technology to make our lives easier. Technology also has the potential to offer the same, or even greater, benefits to people with both physical and cognitive impairments.



People with a diagnosis of dementia experience progressive cognitive impairments that typically start with working memory problems but can encompass speech production,… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 2:30am — No Comments

Assessing and Treating Sleep Disturbances in Patients With Alzheimer's Disease

Changes in sleep are inevitable as people age, though some sleep symptoms may be due to diseases rather than aging itself (Foley et al., 1999). For example, 41% of a study sample of older adults with ≥4 medical conditions considered themselves to be fair or poor sleepers as compared to 22% with one to three conditions and only 10% of those with none (Foley et al., 2004). In this same study, poor sleep was most strongly associated with heart disease, depression, arthritis and obesity. However,… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 2:00am — No Comments

Apathy and Its Treatment in Alzheimer's Disease and Other Dementias

Although memory and other cognitive impairments are considered the hallmark features of most dementias, neuropsychiatric abnormalities occur in the majority of such patients (Cohen et al., 1993). Neuropsychiatric symptoms are associated with a rapid course of decline, elevated caregiver distress and overutilization of health care services (Chung and Cummings, 2000; Teri, 1997). Apathy is the most common neuropsychiatric symptom reported among individuals with Alzheimer's disease (AD), affecting… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 2:00am — No Comments

MR imaging brings clarity to one source of dementia

(PSYCHIATRIC TIMES) - Vascular disease in the brain may dictate the onset of dementia in the elderly, according to a study published in the September issue of Radiology.



Debate on the association between dementia and cerebrovascular disease is as old as imaging itself. But even though the causes of dementia are multiple-and many remain unknown-some imagers point at cerebrovascular disease as one of the most relevant.



Radiologist Dr. Aart Spilt and colleagues at the… Continue

Added by psychiatryRounds Psychiatry News on November 1, 2005 at 2:00am — No Comments

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