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Psychiatry
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Dealing With Diabetes & Depression

Rates of depression are significantly higher for patients with diabetes, especially those who are elderly, when compared with people without diabetes. About 20% to 30% of patients with diabetes suffer from clinically relevant depressive disorders. “Depression can worsen glycemic control in those with diabetes,” says Jason C.…

Alcohol Abuse Among Physicians: Taking Control

The AUDIT Screening Tool Can Help Identify Unhealthy Alcohol Consumption by Either You or a Colleague

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.

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.…

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Medicine 2064

Medicine 2064 With Dr. Daniel Kraft

Curing half of the world’s known cancers, granting movement to the paralyzed, preventing Alzheimer’s. Visionary medical expert Dr. Daniel Kraft believes all of this and more can happen by 2064. In this first film in our “Conversations with Tomorrow” series, take a glimpse at the future of medicine and its impact on our lives.…

More Docs Denying Sales Rep Access

A new report from the global sales and marketing consulting firm ZS Associates indicates that—despite signs of leveling off—pharmaceutical sales rep access to physicians continues to steadily decline. Data on more than 240,00 prescribers showed that only 51% of  physicians/prescribers allow access to sales reps in 2014, down from 55% in 2013, from 65% in 2012, and 78% in 2009.…

Mental Healthcare: Time to End the Stigma

It was with great sadness that we all saw the tragic news of Robin Williams’ suicide. For years, mental health has been a taboo topic. While the passing of this great actor is horrifying, we are only aware of it because of his stardom.…

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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