Reconocimiento temprano de la Esquizofrenia en la comunidadGuillermo Rivera
La esquizofrenia es un trastorno complejo y de elevada incapacidad. La identificación temprana de la enfermedad favorece el inicio del tratamiento. Se describe las señales de alerta a la que los trabajadores de salud comunitarios deben estar alertas para su reconocimiento, así mismo se establece pautas de abordaje.
Nuevos Abordajes en el Trastorno por Uso de AlcoholGuillermo Rivera
Se describe el circuito de recompensa comprometido en el trastorno y su abordaje biológico; así como se releva la importancia de un abordaje psicosocial basado en la entrevista motivacional.
Alta Emotividad Expresada y Duración de Psicosis No TratadaGuillermo Rivera
La duración de la psicosis no tratada (DPNT) es el tiempo transcurrido desde la primera manifestación de los síntomas psicóticos al inicio del tratamiento adecuado. Se ha postulado que una prolongada DPNT conduce a un peor pronóstico. Por otro lado la Emoción Expresada (EE) es un concepto que refleja la atmósfera emocional del ambiente de casa. Buscamos una correlacion entre DPNT y Emotividad Expresada
Bolivia’s mental health plan is not currently embedded in mental health legislation or a legal framework, though in 2014 legislative change was proposed that would begin to provide protection and support for the hospital admission, treatment and care of people with mental disorders in Bolivia. Properly resourced regulated and rights-based mental health practice is still required. Mental healthcare in the primary care setting should be prioritised, and safeguards are needed for the autonomy of all patients, including all those in vulnerable and
cared-for groups, including those in prisons.
Reconocimiento temprano de la Esquizofrenia en la comunidadGuillermo Rivera
La esquizofrenia es un trastorno complejo y de elevada incapacidad. La identificación temprana de la enfermedad favorece el inicio del tratamiento. Se describe las señales de alerta a la que los trabajadores de salud comunitarios deben estar alertas para su reconocimiento, así mismo se establece pautas de abordaje.
Nuevos Abordajes en el Trastorno por Uso de AlcoholGuillermo Rivera
Se describe el circuito de recompensa comprometido en el trastorno y su abordaje biológico; así como se releva la importancia de un abordaje psicosocial basado en la entrevista motivacional.
Alta Emotividad Expresada y Duración de Psicosis No TratadaGuillermo Rivera
La duración de la psicosis no tratada (DPNT) es el tiempo transcurrido desde la primera manifestación de los síntomas psicóticos al inicio del tratamiento adecuado. Se ha postulado que una prolongada DPNT conduce a un peor pronóstico. Por otro lado la Emoción Expresada (EE) es un concepto que refleja la atmósfera emocional del ambiente de casa. Buscamos una correlacion entre DPNT y Emotividad Expresada
Bolivia’s mental health plan is not currently embedded in mental health legislation or a legal framework, though in 2014 legislative change was proposed that would begin to provide protection and support for the hospital admission, treatment and care of people with mental disorders in Bolivia. Properly resourced regulated and rights-based mental health practice is still required. Mental healthcare in the primary care setting should be prioritised, and safeguards are needed for the autonomy of all patients, including all those in vulnerable and
cared-for groups, including those in prisons.
¿ES LA ENFERMEDAD DE ALZHEIMER CAUSADA POR UNA INFECCIÓN?Guillermo Rivera
La hipótesis de un origen infeccioso de la enfermedad de alzheimer se discute desde hace 30 años. Existe numerosa literatura que vincula diversos agentes infecciosos, como son el virus del herpes y algunas espiroquetas y su posible relación con el alzheimer. Estas evidencias sobre la existencia de infecciones en pacientes con la enfermedad de Alzheimer abre un nuevo campo de investigación de la etiología de esta enfermedad.
Neurobiologia de la maduración del cerebro adolescenteGuillermo Rivera
La adolescencia es la etapa de la vida entre el final de la infancia y la edad adulta. Por lo general, los adolescentes buscan diversión, nuevas experiencias y emociones fuertes, a veces poniendo en riesgo su salud. Se han propuesto explicaciones neurocientíficas de la conducta típica adolescente. Nuevos hallazgos sobre la psicología evolutiva y la neurociencia revelan que una reorganización fundamental del cerebro tiene lugar en la adolescencia. En el desarrollo postnatal del cerebro, la densidad máxima de la materia gris se alcanza primero en la corteza sensitivomotora primaria, y la corteza prefrontal madura última . Áreas subcorticales del cerebro, especialmente el sistema límbico y el sistema de recompensa , se desarrollan antes , de modo que hay un desequilibrio durante la adolescencia entre las áreas subcorticales más maduras y áreas prefrontales menos maduras . Esto puede explicar los patrones de comportamiento típicos de la adolescencia, incluyendo la toma de riesgos .
La alta plasticidad del cerebro adolescente permite que las influencias ambientales ejerzan efectos particularmente fuertes en los circuitos corticales. Si bien esto hace posible el desarrollo intelectual y emocional, también abre la puerta a las influencias potencialmente dañinas.
La jornada presenta algunos de los principales abordajes terapéuticos de la tercera ola de Terapias Cognitivo-Conductuales incluyendo: el Programa de Reducción de estrés basado en Mindfulness (MBSR), la Terapia Dialéctico Conductual (DBT), la Activación Conductual y las bases cognitivo-conductuales.
La presentazione usata nel webinar dedicato alle novità del CSS introdotte con i nuovi moduli. All'interno della presentazione trovi tutte le specifiche CSS che ci mostrano la compatibilità con i browser moderni!
Puoi vedere la registrazione della LIVE a questo link: http://skillsandmore.org/futuro-css/
Understanding Volatility and What it means to your Portfoliosorenk
Feb 2013 - Why Volatility impacts our decision-making, What causes it, how it serves as a barometer and tool to forecast market direction, how it follows power-laws typical of cascade dynamics of fluid turbulence, earthquakes etc
A presentation about shifting mindsets from delivering SharePoint projects based on requirements to delivering Business Projects based upon business value and outcomes.
Comprehensive Psychiatric Evaluation
Tina Cherry
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Dr. Clark
April 4, 2022
1
7
Subjective
CC: “it works a little too well. It makes me sleepy.”
HPI: The patient is a White female who is 26 years old. She says that she was given medication that made her sleepy during her recent admission to an inpatient psychiatric facility. She says that she was struggling with sleep before she was treated at the facility. She also reports that she was diagnosed with bipolar disorder. She says that within one week, she has lost 14 pounds. She complains that she sleeps too much at night. She rates her happiness in life at an eight out of ten and denies suicide and homicide ideation. The patient reports that she has highs and lows in her moods.
Past Psychiatric History
General Statement: The patient has been previously diagnosed with bipolar disorder.
Caregivers: not reported.
Hospitalizations: Prior inpatient admission at a psychiatric facility.
Medication Trials: Lithium during last inpatient visit
Previous Psychiatric Diagnosis: Bipolar disorder
Substance Use History: The patient does not drink, abuse illicit drugs, and has never smoked.
Family History: Both her parents are alive, and her father has skin cancer that has metastases to the brain.
Psychosocial History: No reported psychosocial history.
Medical History:
Current Medications: Gabapentin 600mg in the morning and noon, and 1200mg at night. Abilify 5mg at night
Allergies: Lithium causes her to have diarrhea.
Reproductive Hx: No reported childern.
Past Medical History: Hyperlipidemia.
ROS:
GENERAL: The patient is alert and well oriented to time, place, and person.
HEENT: The patient does not have any swellings on the head, audio and visual acuity is normal, no sinus infections, and no swollen lymph nodes in the throat.
SKIN: The skin does not have any breakages or rashes. It is also sufficiently moist with normal pigmentation.
CARDIOVASCULAR: The patient does not experience any discomfort in the chest.
RESPIRATORY: The patient has steady breathing and does not experience shortness of breath. The rising and falling of her chest are expected, with no dyspnea or respiratory issues.
GASTROINTESTINAL: The patient does not have any nausea, abdominal pains, running stomach, or vomiting episodes
GENITOURINARY: The patient can pass urine without experiencing any pain or discomfort.
MUSCULOSKELETAL: The patient has a full range of ambulatory movements with no pain in her joints. She moves freely with no constraints or pain.
HEMATOLOGIC: The patient does not have anemia.
LYMPHATICS: There is no splenectomy or swollen lymph nodes present.
ENDOCRINOLOGIC: There are no endocrinal conditions noted or any unusual hormonal changes.
Objective
Physical Examination: Vitals are as follows: Ht: 5’11” Wt: 169 lbs BMI: 23.57 Pain: 0/10
Diagnostic results: Blood and urine tests returned unremarkable results, and the MRI ...
This program includes an innovative outreach program that combines sound business principals with social goals in order to specifically target the largest barrier to early psychosis treatment in Bolivia: the stigma of mental illness.
By utilizing a mobile, multidisciplinary treatment team that emphasizes the roles of trained case managers focused on providing intensive individual and family support in the home, this program will provide culturally appropriate care that will leverage contributions from a limited supply of psychiatrists and shift dependence away from a fragmented medical system
¿ES LA ENFERMEDAD DE ALZHEIMER CAUSADA POR UNA INFECCIÓN?Guillermo Rivera
La hipótesis de un origen infeccioso de la enfermedad de alzheimer se discute desde hace 30 años. Existe numerosa literatura que vincula diversos agentes infecciosos, como son el virus del herpes y algunas espiroquetas y su posible relación con el alzheimer. Estas evidencias sobre la existencia de infecciones en pacientes con la enfermedad de Alzheimer abre un nuevo campo de investigación de la etiología de esta enfermedad.
Neurobiologia de la maduración del cerebro adolescenteGuillermo Rivera
La adolescencia es la etapa de la vida entre el final de la infancia y la edad adulta. Por lo general, los adolescentes buscan diversión, nuevas experiencias y emociones fuertes, a veces poniendo en riesgo su salud. Se han propuesto explicaciones neurocientíficas de la conducta típica adolescente. Nuevos hallazgos sobre la psicología evolutiva y la neurociencia revelan que una reorganización fundamental del cerebro tiene lugar en la adolescencia. En el desarrollo postnatal del cerebro, la densidad máxima de la materia gris se alcanza primero en la corteza sensitivomotora primaria, y la corteza prefrontal madura última . Áreas subcorticales del cerebro, especialmente el sistema límbico y el sistema de recompensa , se desarrollan antes , de modo que hay un desequilibrio durante la adolescencia entre las áreas subcorticales más maduras y áreas prefrontales menos maduras . Esto puede explicar los patrones de comportamiento típicos de la adolescencia, incluyendo la toma de riesgos .
La alta plasticidad del cerebro adolescente permite que las influencias ambientales ejerzan efectos particularmente fuertes en los circuitos corticales. Si bien esto hace posible el desarrollo intelectual y emocional, también abre la puerta a las influencias potencialmente dañinas.
La jornada presenta algunos de los principales abordajes terapéuticos de la tercera ola de Terapias Cognitivo-Conductuales incluyendo: el Programa de Reducción de estrés basado en Mindfulness (MBSR), la Terapia Dialéctico Conductual (DBT), la Activación Conductual y las bases cognitivo-conductuales.
La presentazione usata nel webinar dedicato alle novità del CSS introdotte con i nuovi moduli. All'interno della presentazione trovi tutte le specifiche CSS che ci mostrano la compatibilità con i browser moderni!
Puoi vedere la registrazione della LIVE a questo link: http://skillsandmore.org/futuro-css/
Understanding Volatility and What it means to your Portfoliosorenk
Feb 2013 - Why Volatility impacts our decision-making, What causes it, how it serves as a barometer and tool to forecast market direction, how it follows power-laws typical of cascade dynamics of fluid turbulence, earthquakes etc
A presentation about shifting mindsets from delivering SharePoint projects based on requirements to delivering Business Projects based upon business value and outcomes.
Comprehensive Psychiatric Evaluation
Tina Cherry
College of Nursing-PMHNP, Walden University
NRNP 6635: Psychopathology and Diagnostic Reasoning
Dr. Clark
April 4, 2022
1
7
Subjective
CC: “it works a little too well. It makes me sleepy.”
HPI: The patient is a White female who is 26 years old. She says that she was given medication that made her sleepy during her recent admission to an inpatient psychiatric facility. She says that she was struggling with sleep before she was treated at the facility. She also reports that she was diagnosed with bipolar disorder. She says that within one week, she has lost 14 pounds. She complains that she sleeps too much at night. She rates her happiness in life at an eight out of ten and denies suicide and homicide ideation. The patient reports that she has highs and lows in her moods.
Past Psychiatric History
General Statement: The patient has been previously diagnosed with bipolar disorder.
Caregivers: not reported.
Hospitalizations: Prior inpatient admission at a psychiatric facility.
Medication Trials: Lithium during last inpatient visit
Previous Psychiatric Diagnosis: Bipolar disorder
Substance Use History: The patient does not drink, abuse illicit drugs, and has never smoked.
Family History: Both her parents are alive, and her father has skin cancer that has metastases to the brain.
Psychosocial History: No reported psychosocial history.
Medical History:
Current Medications: Gabapentin 600mg in the morning and noon, and 1200mg at night. Abilify 5mg at night
Allergies: Lithium causes her to have diarrhea.
Reproductive Hx: No reported childern.
Past Medical History: Hyperlipidemia.
ROS:
GENERAL: The patient is alert and well oriented to time, place, and person.
HEENT: The patient does not have any swellings on the head, audio and visual acuity is normal, no sinus infections, and no swollen lymph nodes in the throat.
SKIN: The skin does not have any breakages or rashes. It is also sufficiently moist with normal pigmentation.
CARDIOVASCULAR: The patient does not experience any discomfort in the chest.
RESPIRATORY: The patient has steady breathing and does not experience shortness of breath. The rising and falling of her chest are expected, with no dyspnea or respiratory issues.
GASTROINTESTINAL: The patient does not have any nausea, abdominal pains, running stomach, or vomiting episodes
GENITOURINARY: The patient can pass urine without experiencing any pain or discomfort.
MUSCULOSKELETAL: The patient has a full range of ambulatory movements with no pain in her joints. She moves freely with no constraints or pain.
HEMATOLOGIC: The patient does not have anemia.
LYMPHATICS: There is no splenectomy or swollen lymph nodes present.
ENDOCRINOLOGIC: There are no endocrinal conditions noted or any unusual hormonal changes.
Objective
Physical Examination: Vitals are as follows: Ht: 5’11” Wt: 169 lbs BMI: 23.57 Pain: 0/10
Diagnostic results: Blood and urine tests returned unremarkable results, and the MRI ...
This program includes an innovative outreach program that combines sound business principals with social goals in order to specifically target the largest barrier to early psychosis treatment in Bolivia: the stigma of mental illness.
By utilizing a mobile, multidisciplinary treatment team that emphasizes the roles of trained case managers focused on providing intensive individual and family support in the home, this program will provide culturally appropriate care that will leverage contributions from a limited supply of psychiatrists and shift dependence away from a fragmented medical system
Casey Hoffman
Initial Post
Bipolar Disorder
Bipolar Disorder is a psychiatric condition that is characterized by key changes in mood, energy and activity level (Bipolar Disorder, 2016). Those suffering from Bipolar Disorder can have extremely "up" moods, full of elation, which are known as a manic episode, and extremely low episodes known as depressive episodes. Bipolar Disorders can be genetic in nature (Sanchez-Igleesias, S. Garcia, V. Garcia, 2016). Patients can also have manic episodes that are less severe in nature, which care known as hypomanic episodes. There are 4 types of Bipolar Disorders that are classified within the DSM IV, they include Bipolar I Disorder, Bipolar II Disorder, Cyclothymic Disorder, and other unspecified Bipolar and related disorders. (Bipolar Disorder, 2016). Patients can also experience mixed episodes which can include symptomologies of both manic and depressive episodes. During manic episodes, patients will exhibit specific behaviors including increased levels of activity, increased energy, indulge in risk behaviors (sexual activity or excessive spending), a flight of ideas, and having trouble sleeping. During depressive episodes, patients may experience feelings of hopelessness, have decreased activity levels, increased need for sleep, and feeling worried.
Decision Steps
My first decision step was to restart the patient on Lithium 300mg BID. After this initial treatment intervention, the patient returned to the office in 4 weeks' time, exhibiting many of the same symptomologies that she displayed on her initial visit. She attests to taking her Lithium intermittently and only when she feels like she needs it. Decision point two involved assessing why the patient was non-compliant in her lithium therapy and was then educated on the effects of Lithium and the pharmacological actions involved. The client then returned to the clinic in 4 weeks' time complaining that the medication makes her nauseated and gives her diarrhea. The patient attests to stopping her lithium therapy until these symptoms dissipate and then will start taking her medication again only to have the symptoms start again. The third decision point involved keeping the patient's lithium at the same dose and frequency, except making the medication sustained-release instead of immediate release. The patient's lithium was changed to extended-release because this formulation can prevent the symptomologies of nausea and diarrhea.
Chosen Pharmacotherapies
Lithium is an effective medication for treating acute manic and depressive episodes, as well as in reducing the recurrance of mood episodes and minimizing the risk of suicidal behaviors (Merchado-Vieira, Manji, & Zarate, 2009). Lithium is classified as a mood-stabilizing agent. Its mechanism of action involves inducing multiple biochemical and molecular effects on neurotransmitter signaling, signal transduction cascades, hormonal and circadian regulation, ion transport, and gene expression (Merch ...
Chief Complaint Follow upHistory of Presenting IllnessMrJinElias52
Chief Complaint: Follow up
History of Presenting Illness:
Mr. Gerald is 58-year-old AA male admitted to SBGC on 10/8/21 due to history of HTN, chronic ETOH use, tobacco use, Wernicke's encephalopathy and unspecified psychiatric history. He was seen for follow up via telemedicine. He was selectively mute and could not talk to us much. Nodded head to most questions. Patient is a poor historian and has a history of given conflicting information. Staff report that appetite and sleep varies. He is being managed with Aricept 5mg for dementia and Cogentin 0.5mg for EPS. Ativan 1mg PRN for agitation. Nursing to continue to document behavior to direct further treatment plan. Verbalized understanding. No change in status. Denies suicidal or homicidal ideation. Denies any issue or discomfort currently. Patient denies current SI/HI/AVH/Paranoia/Delusion.
Current Medication: As per Matrix medication lists for medical.
Psychiatric medication: None
Past Psychiatric History: Unknown
Past Psychiatric Hospitalization: Unknown
History of Suicide Attempts or Thoughts- Unknown
Previous Psychiatric Medications: None PTSD: Y/N- Unknown.
Family Psychiatric History: Unknown
Medical History/Review of Systems: See Matrix for medical diagnosis.
Allergies Drug: NKDA.
Food Allergies: NKFA
Surgery: Y/N- Unknown. Sleep and Appetite Varies.
Normal Developmental History: None
Exposure to Drugs/medication/Alcohol: Y/N-Unknown
Speech/Language delays: Y/N- Yes
Sexual Abuse or Physical abuse: Y/N-Unknown
Social History: Unknown
Sexually active. Are you in relationship: Unknown?
Family Structure: Unknown
Favorite/Leisure activity: Y/N: Unknown
Educational History/Career: Unknown
Work history: Unknown
Substance Use History: Unknown.
Legal History: Y/N- Unknown
Mental Status Examination:
General Appearance: Neat & clean, casually dressed in good hygiene.
Eye contact: Normal Psychomotor Activity: Normal
Memory: Long term and short-term memory not intact. Attention: Reduced
SPEECH: Decreased speech in amount, rate, and volume.
MOOD: objectively Poor.
AFFECT: Flat and anxious.
THOUGHT PROCESS: Not appropriate.
THOUGHT CONTENT: Denies SI/HI.
PERCEPTIONS: Denies AVH sensorium.
INSIGHT: Poor
JUDGMENT: Poor
COGNITION: Poor
Language. normal.
Diagnosis:
F03.20 Dementia.
Suicidal ideation/HI - Denies Suicidal or homicidal ideation.
PROTECTIVE FACTORS: Family support
RISK ASSESSMENT: Low
SAFETY PLAN RECOMMENDATIONS: Notify staff if feeling Suicidal and call 911 for suicidal attempt.
Psychosis: - Denies Paranoia and delusional.
Prescription: No medication at this time.
Medication Education: Aricept 5mg at bed time for dementia. Cogentin 0.5mg for EPS. Ativan 1mg every 6hrs PRN.
Non-Pharmacological Education Recommended: Continue to use positive coping skills as needed. Identify triggers and address them proactively.
Plan: In 90 days, there will be improvement in memory and concentration.
Fall precaution in place
Follow up in 2 to 4 weeks.
NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation ...
The Hispanic Millennial Project - Wave 2: Hispanics and HealthcareThinkNow
The Hispanic Millennial Project is a joint research
study developed by cross-cultural advertising
agency Sensis and market research firm ThinkNow
Research.
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...Stephen Grcevich, MD
In these lectures presented by Dr. Stephen Grcevich to child and adolescent psychiatry trainees at Akron Children's Hospital in January 2021, the following objectives were addressed:
Identify critical questions challenging our assumptions regarding treatment of bipolar disorder in kids.
Explore diagnostic challenges associated with comorbidity with other common mental health conditions.
Review key literature evaluating effective pharmacotherapy of pediatric bipolar disorder.
Examine available data on non-pharmacologic treatments in kids with bipolar disorder.
ThinkNow & Sensis: The Hispanic Millennial ProjectThinkNow
U.S. Hispanics, on average, live longer than non-Hispanic whites. How can this be? Non-Hispanics whites have higher income and education levels which tend to correlate with longer life expectancy. This is known as the Hispanic Health Paradox.
We are living through a psychedelic renaissance. Spearheaded by academic research and increasingly of interest to media, government and business, substances like psilocybin, LSD and MDMA are returning to our culture after a 40+ year hiatus.
So why all the excitement? How much of this is hype, and how much is potential for real positive impact?
This presentation is about ways psychedelics may be able to do a lot of good. It covers:
- Current efforts towards psychedelic mainstreaming (an overview of the landscape)
- The problems of trauma, depression, anxiety, and addiction, and how psychedelics can help
- How psychedelics might change our personality traits and values
- Long-termist arguments for why psychedelics could improve the future of human health, wellbeing, and flourishing
- What Aaron is working on in the psychedelic space
Learn more about Aaron here: https://anesmithbeck.com
---
First link in the presentation that doesn't work on SlideShare: https://psychedelic.support/resources/how-to-join-psychedelic-clinical-trial/
1bipolar disorder8Captain of the Ship Bipolar DisorderTEttaBenton28
1
bipolar disorder 8
Captain of the Ship: Bipolar Disorder
The following case study details the treatment approach for a 35-year-old Caucasian male who presented to the clinic for help with his mood disorder. The assessment and intake supported the diagnosis of bipolar disorder, subtype II. The following analysis presents the details related to both pharmacology and psychotherapy, as well as information related to medical management, community support resources, and appropriate follow-up.
Chief Complaint
The client came to the clinic reporting that he “could no longer deal with his up-and-down mood swings and that he was at the end of his rope.”
History of Presenting Problem
This client stated that he has had mood swings for as long as he could remember, and that right now he was in the “up” phase of this alternating mood pendulum. From an inspection of the genogram that the client provided, there was a noticeable inheritance pattern of the bipolar. Notably, this client had evidence of bipolar on both maternal and paternal sides of his genogram. Research has shown that bipolar has a high heritability rate. Kern (2014) reported on the concordance rates of twins with bipolar, stating the rate was from 60-80%. In other studies, the heritability of bipolar is demonstrated albeit at lower rates (Maier et al. (2005).
The DSM-V characterizes bipolar II disorder as one in which individuals experience a period of at least 4 days of hypomanic symptoms; once this criterion is met, the person fits the diagnosis of bipolar II regardless of the duration of future hypomanic episodes (APA, 2013). Additional symptoms to support this diagnosis were the client’s admission that he was taking on several projects and tasks at work simultaneously; sleeping little; experiencing racing thoughts; and feeling invincible. The intake showed the client’s extremely fast talking, switching subjects haphazardly, and admission of both depressive and hypomanic episodes, all of which point to a diagnosis of bipolar II (296.89 F31.81) (APA, 2013).
Current Medications
This client denied taking any medications, either over the counter or from a doctor. Although he claimed he was in good health, he did report that he frequently got headaches but not of migraine proportions. He described them as more of an annoyance than a health problem. He gained relief from either Motrin or Tylenol during these headache episodes. He denied taking any vitamins or herbs or any other OTC substances.
Relevant History
The client reported that his mood swings began when he was in his early 20s. As he witnessed other family members suffering from these mood swings, he came to believe they were normal. The client appeared to be in good health, was not overweight, and appeared to take good care of himself. He was dressed well and was oriented x4. He stated that he earned a good living working as a financial consultant, enjoyed his work, but could not deal with the revolving mood swings anymore. His p ...
The Global South - Global Mental Health & Psychiatry Newsletter - June 2018Université de Montréal
In this essay, I discuss the evolving notion of the Global South. These considerations point to the need to understand and embrace the emerging characteristics of the Global south that I define as syncretism, conviviality, and porosity. Syncretism is the practice of different religious traditions such as Catholicism and Afro-Brazilian candomblé side by side to create new syntheses of belief and practice. I am applying this more generally to the capacity in the Global south to embrace plurality and difference to create more a more harmonious and inclusive syncretic culture. Conviviality is a similar term invoked by Ivan Illich, emphasizing interdependence. Porosity is an idea I adopted from the work of Walter Benjamin in my work in Brazil and Haiti to soften borders and boundaries in the daily work of culture. What these three notions have in common is a more fluid, less categorical approach to culture, medicine and politics.
Similar to Research Issues in Psychiatry in Bolivia (20)
La Revista Boliviana de Psiquiatría es uno más de estos esfuerzos de parte
de la Sociedad Boliviana de Psiquiatría, la cual busca sacar a la luz las diversas investigaciones
que se desarrollan en nuestro medio, pero que no llegan a conocerse, asimismo pretende
fomentar esta actividad y realzarla
Nos complace presentarles el tercer número de nuestra revista, en el cual exploramos una variedad
de temas relevantes en el campo de la salud mental. En esta edición, abordamos cuestiones que van
desde la soledad en la vejez hasta la epilepsia y el trastorno de conversión, pasando por la depresión en
mujeres gestantes, el trastorno de personalidad y la criminalidad, la credibilidad en niños víctimas de
agresión sexual, y la intersección entre la filosofía y la psiquiatría.
La soledad en la vejez es un tema de gran relevancia en nuestra sociedad actual. Exploramos cómo este
fenómeno afecta la salud mental y el bienestar de nuestros mayores, y consideramos estrategias para
abordarlo de manera efectiva.
La depresión en mujeres gestantes es otro tema crucial que abordamos en este número. Analizamos los
factores de riesgo, las implicaciones para la madre y el feto, y las opciones de tratamiento disponibles.
El trastorno de personalidad y la criminalidad es un tema complejo que examinamos desde una
perspectiva psiquiátrica y criminológica, buscando comprender mejor la relación entre ambos y las
implicaciones para la intervención y prevención del delito.
La credibilidad en niños víctimas de agresión sexual es un tema delicado pero fundamental que
exploramos en esta edición. Consideramos cómo los profesionales de la salud mental pueden evaluar
de manera adecuada la veracidad de los relatos de los niños y brindarles el apoyo necesario.
Una revisión sobre filosofía y psiquiatría explora las conexiones entre estas dos disciplinas aparentemente
distintas, examinando cómo la filosofía puede enriquecer nuestra comprensión de la mente y el
comportamiento humanos.
Finalmente, abordamos la epilepsia y el trastorno de conversión, dos condiciones neurológicas que
pueden tener manifestaciones psiquiátricas y que requieren un enfoque integrado para su tratamiento
y manejo.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Trastornos Depresivos en Bolivia: Investigación Actual y Futuras DireccionesGuillermo Rivera
Se expone resultados de investigaciones realizadas en población boliviana cursando con trastornos depresivos. La depresiones la principal causa de perdida de vida saludable. Se valido dos cuestionarios a población boliviana. PHQ-8 y PHQ-9
La Revista Boliviana de Psiquiatría, es un órgano divulgativo de la Sociedad Boliviana de Psiquiatría,
cuyo objetivo es difundir conocimiento y los productos de investigación que se generan en la sociedad,
así como de investigadores nacionales e internacionales. Se publica semestralmente en español, con
resúmenes en español e inglés. Los artículos publicados son trabajos originales de investigación, de
revisión, casos clínicos, cartas de editor, editoriales, comentarios de libros publicados de las diferentes
áreas: Psiquiatría, Psicoterapia y Salud Mental; los mismos son arbitrados por pares, bajo el control y
seguimiento del Comité Editorial de la revista.
Secuelas neuropsiquiátricas de la infección por SARS-CoV-2: ¿Cómo afecta al s...Guillermo Rivera
La creciente evidencia del impacto del SARS-CoV-2 en el SNC plantea preguntas clave sobre su impacto en el riesgo de deterioro cognitivo.
Este necesario investigar las consecuencias a largo plazo que pueden afectar el cerebro, la cognición y el funcionamiento, incluida la biología subyacente que puede contribuir a la EA y otras demencias.
Terapia de Exposición Prolongada para el tratamiento del traumaGuillermo Rivera
La terapia de exposición prolongada es un tipo de terapia cognitivo-conductual utilizada para el tratamiento del trastorno de estrés postraumático (TEPT) y otros trastornos relacionados con el trauma. La terapia se centra en ayudar al paciente a confrontar gradualmente los recuerdos traumáticos y las situaciones relacionadas con el trauma que evita, en un ambiente seguro y controlado. Durante la terapia, el paciente aprende a controlar su ansiedad y miedo mientras revive los eventos traumáticos, y así se logra la desensibilización de la respuesta emocional asociada a los recuerdos. El objetivo final de la terapia de exposición prolongada es que el paciente se sienta más seguro y menos perturbado por las experiencias traumáticas, y aprenda a reemplazar pensamientos negativos por otros más realistas y positivos.
Bolivia its Prisons and Mental Health Services in the Time of Covid-19Guillermo Rivera
1. Ecosystems model
2. Pre-Covid: Mental health and prisons
3. Pre-Covid: Political situation
4. Covid: Prisons, politics and mental health
5. Conclusions
Cambios de la CIE-11 en los trastornos por consumo de sustancias y comportami...Guillermo Rivera
Los Trastornos por consumo de sustancias y comportamientos adictivos constituyen una agrupación cuyas definiciones han sufrido modificaciones en la mas reciente versión de la CIE-11 de la OMS
La Maestría en Neurociencia de la UPCH es un programa único de
capacitación y tutoría de investigación avanzada centrado en las
minorías indígenas de América del Sur. El programa se enfoca en la
formación de capacidades en aplicaciones de investigación clínica de
neuroimágenes, genética, epidemiología, neuropsicología y
neuromodulación. Ofrece además entornos de capacitación
personalizados y un ecosistema de innovación en línea para respaldar
la capacidad y el desarrollo profesional después de completar el
grado de magister, abriendo la oportunidad de optar por un
doctorado.
Los retos de la desinstitucionalización psiquiátrica en Bolivia Guillermo Rivera
La desinstitucionalización psiquiátrica persigue el traslado de pacientes de los hospitales psiquiátricos a la atención comunitaria, complementados con camas en el hospital general para casos agudos.
Tiene como objetivo empoderar a las personas con enfermedades mentales y aumentar su autonomía
Bolivia debe transformar sus sistema asilar a uno comunitario que respete los derechos humanos y ofrezca calidad en el servicio.
Método Sinclair para los Trastornos por Uso de AlcoholGuillermo Rivera
El consumo de alcohol es un factor causal en más de 200 enfermedades y trastornos, conlleva una pesada carga social y económica para las sociedades.
La administración aguda, tanto de alcohol como de drogas, produce efectos reforzadores positivos, mediante la activación del circuito de la recompensa cerebral, que incluye determinadas estructuras del sistema límbico
(sistema amígdala-accumbens e hipocampo).
En el método Sinclair los pacientes ingieren naltrexona, un fármaco que bloquea los efectos positivos que el alcohol provoca en el cerebro al desencadenar endorfina. La sensación de bienestar que experimentan al beber alcohol desaparece. Basta tomar una píldora una hora antes de beber para que los efectos placenteros propios de la ingesta alcohólica queden bloqueados. Con el tiempo los pacientes dejan de verle la gracia al alcohol y su consumo va disminuyendo poco a poco.
Hasta hace unos años se creía que el cerebro se desarrollaba en los primeros seis años de vida pero hoy se sabe que el cerebro termina de desarrollarse en la tercera década de la vida, es decir entre los 20 y 25 años. Por lo tanto, hay áreas cerebrales que están inmaduras hasta esa momento.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
1. Mental Health in Bolivia:
Research and Practice
Guillermo Rivera, MD, MHPS, PhDGuillermo Rivera, MD, MHPS, PhD
Director of the Psychiatry Outpatient ClinicDirector of the Psychiatry Outpatient Clinic
Hospital Universitario JaponésHospital Universitario Japonés
2. Agenda
1. Mental health and Psychiatric care in
Bolivia
2. Local research issues
3. Steps forward
3.
4.
5.
6.
7.
8.
9.
10.
11. AIM
This study analyzes the productivity of
Bolivian publications in the area of
psychiatry in the period 2006-2016
14. Results
YEAR TOPIC P.I. ORIGIN LOCAL
PARTICIPATION
INSTITUTION
2016 x Schizoph
QoL
Chile
U. Tarapacá
No n/a
2016 Depression
mHealth
USA
U. Michigan
Yes U Católica
Min Salud
2016 x Schizoph
Caregivers
Chile
U. Tarapacá
No n/a
2016 x Schizoph
Agression
Chile
U. Tarapacá
No n/a
2015 x Schizoph
Attd Medicat
Chile
U. Tarapacá
No n/a
2015 x Schizoph
Beleifs
Chile
U. Tarapacá
No n/a
15. Results II
YEAR TOPIC P.I. ORIGIN LOCAL
PARTICIPATION
INSTITUTION
2015 Depression
Inmune Actv
France
U Tolouse
No n/a
2015 x Epidemiology
MH Services
Germany
U. London
Yes UPSA
2015 x Schizoph
Neurocog Def
Chile
U. Tarapacá
No n/a
2014 x Schizoph
Psychm QoL
Chile
U Tarapacá
No n/a
2014 MH Services
Public policy
Bolivia
U. Sao Paulo
No n/a
2014 Depression
Disability
USA
U N. Mexico
No n/a
16. Results III
YEAR TOPIC P.I. ORIGIN LOCAL
PARTICIPATION
INSTITUTION
2014 Suicide
Adolescents
Denmark
U Odense
Yes PLAGFOL
2013 Domestic
Violence
USA
U Tulane
No n/a
2009 MH Services
PHC
Bolivia
UMSA
n/a n/a
2009 Suicide
Toxicology
USA
St. Anthony
Yes Hospital de
Clínicas
20. Additional comments
• 56% First Nations
• 12% Bolivian PI
• 43.7% Chile
• 25% USA
• Denmark, UK, France, PAHO.
21.
22.
23.
24. Research evidence is essential to inform
policies, interventions and programs, and
yet research activities in mental and
neurological (MN) health have been largely
neglected, particularly in low- and middle
income countries.
25.
26.
27. Thank you!
AIM HIGH
and
FLY HIGH
http://images.nationalgeographic.com/wpf/media-live/photos/000/812/overrides/your-shot-promo-untamed-wild-bird-sea_81205_100