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Psychiatry
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Overcoming Boarding Issues With Psychiatric ED Patients

Using an innovative model of transferring patients from general hospital EDs to a regional psychiatric emergency service appears to reduce the length of boarding times for patients awaiting psychiatric care when compared with state ED averages.

Gender Differences in Total Hip Arthroplasty

A study has found that women have a 29% higher risk of short-term implant failure following total hip arthroplasty when compared with men. An increased risk of all-cause implant revision also emerged and appears to be related to factors other than infection.

Substance & Alcohol Use After Weight Loss Surgery

Weight loss surgery (WLS) has been an effective treatment for many patients with clinically severe obesity and comorbid medical con­ditions. Despite its merits, WLS requires major lifestyle changes for potential candidates, and many patients may not be adequately prepared to make such changes.…

OPINION ARTICLES

Managing Fibromyalgia and Comorbid Depression

About 50% to 70% of fibromyalgia patients have a lifetime history of depression, many of whom take antidepressants to treat their depression. A common clinical question has been how to manage fibromyalgia pain in patients with comorbid depression who are stable on antidepressants.…

Substance & Alcohol Use After Weight Loss Surgery

Weight loss surgery (WLS) has been an effective treatment for many patients with clinically severe obesity and comorbid medical con­ditions. Despite its merits, WLS requires major lifestyle changes for potential candidates, and many patients may not be adequately prepared to make such changes.…

Using Restraints to Manage Agitated Patients

Most emergency physicians think of agitation as relatively simple to treat, with sedation being the most common course of action. However, sedating even just a few agitated patients in precious ED beds can increase waiting times for the entire ED. Further complicating matters is that all agitation is not the same.…

BLOG

Linking Vitamin D to Dementia

Adults who were moderately deficient or severely deficient in vitamin D had a 53% and 125% increased risk of developing dementia, respectively, in the largest study examining the link between low vitamin D levels and dementia published this month in Neurology.…

The Unhealthy Habits Kids Take Into Adulthood

Meet Jim—the character in this Rewind the Future video—he is a man whose life flashes right before his very eyes, unhealthy habits and all. The choices you teach your child today become the habits they take into their adulthood.

Would you show this video to your patients or your patients’ parents?…

Is There A Mental Healthcare Crisis In The U.S.?

We are all shocked when we see news stories of multiple people being killed by someone who seems to have gone off the deep end. While these events are extremely rare, it is a true tragedy to have them happen at all.…

NEWS BRIEFS

Bullying & Pediatric ED Visits

Among patients aged 8 to 19 presenting to the ED with behavioral symptoms, the prevalence of bullying appears to be substantial. A team of New York investigators found that 24.0% of patients with behavioral issues reported bullying, with boys reporting such issues more often than girls.…

ED Visits in ADHD Patients Using Stimulants

A report from the Substance Abuse and Mental Health Services Administration indicates that the number of ED visits involving ADHD stimulants increased from 13,379 to 31,244 between 2005 and 2010. The report noted that no significant increases in such visits were observed among children younger than 18.…

Guideline Adherence Impacts Mortality in Schizophrenia

Adherence to the 2009 Schizophrenia Patient Outcomes Research Team (PORT) pharmacologic guidelines appears to help reduce mortality among patients with schizophrenia, according to a study from Johns Hopkins University. The authors recommend that clinicians consider adopting outcomes-monitoring systems and innovative service delivery programs to improve adherence to the PORT guidelines.…

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