{"title":"About this issue","authors":"MD Nada L. Stotland","doi":"10.1016/S1082-7579(98)00002-8","DOIUrl":"https://doi.org/10.1016/S1082-7579(98)00002-8","url":null,"abstract":"","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 2","pages":"Page 33"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(98)00002-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92076538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Pancreatitis: Current Diagnosis and Treatment","authors":"Sayeed Ikramuddin MD , W.Scott Melvin MD","doi":"10.1016/S1082-7579(97)00082-4","DOIUrl":"10.1016/S1082-7579(97)00082-4","url":null,"abstract":"<div><p>Chronic pancreatitis<span> is a disease most commonly caused by alcoholism. It is a disease that manifests itself over the course of 10 to 20 years. It is associated with significant pain and narcotic addiction<span><span>. Medical treatment appears to be limited, but the use of oral enzyme replacement for control of exocrine insufficiency, and the use of stenting may play at least a temporizing role. Results secondary to surgery have been promising, with long term success in the 70 to 85% range. Despite surgical procedures, however, the ravages of chronic pancreatitis continue. As fibrosis continues, there is further compromise of exocrine and </span>endocrine function. Cessation of alcohol appears to be a critical adjunct to management of this disease.</span></span></p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 1","pages":"Pages 7-12"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00082-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83558286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tuberculosis","authors":"Jean K. Fleischman MD , Harley E. Greenberg MD","doi":"10.1016/S1082-7579(97)00081-2","DOIUrl":"10.1016/S1082-7579(97)00081-2","url":null,"abstract":"<div><p>Over the past several years, the incidence of tuberculosis has dramatically increased. Complicating the rise in number of cases is the emergence of multi-drug-resistant strains of tuberculosis. In certain segments of the population, this problem has reached epidemic proportions and has taxed the resources of the health care delivery<span> system, particularly in inner-city areas. The problem of tuberculosis has reemerged after years of relative quiescence not only because of the AIDS epidemic but also because of increased immigration from countries with uncontrolled tuberculosis. Control of the current tuberculosis problem depends not only on public health policy but also relies heavily on the ability of primary care physicians to recognize and facilitate appropriate treatment of patients with this disease to decrease morbidity, mortality, and communicability. This review will focus on practical aspects of the diagnosis and treatment of tuberculosis with particular emphasis on central nervous effects of TB infection and its treatment. The safety and efficacy of drugs recently added to the therapeutic armamentarium, as well as those that have been available for many years, will be reviewed. Last, medicolegal and ethical issues regarding tuberculosis control will be discussed.</span></p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 1","pages":"Pages 16-21"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00081-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84004716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maqual R. Graham Pharm. D. , Colleen Leidwanger Pharm. D.
{"title":"Treatment Strategies for the Prevention and Relief of Symptoms in Psychiatric Patients with Allergic Rhinitis","authors":"Maqual R. Graham Pharm. D. , Colleen Leidwanger Pharm. D.","doi":"10.1016/S1082-7579(97)00079-4","DOIUrl":"10.1016/S1082-7579(97)00079-4","url":null,"abstract":"<div><p><span><span>Up to 40% of Americans have symptoms of allergic rhinitis, costing the health care system almost 2 billion per year. Allergic rhinitis is an inflammatory disease that results in sneezing, </span>rhinorrhea<span>, and congestion. Allergen avoidance can minimize such symptoms, but pharmacological therapy with antihistamines, </span></span>decongestants<span>, mast cell stabilizers, and corticosteroids may be necessary to effectively treat symptoms. In the psychiatric patient, tobacco use and drug interactions make treatment more complicated. Newly available agents described in this article may prevent treatment complications in the psychiatric patient with allergic rhinitis.</span></p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 1","pages":"Pages 2-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00079-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84464734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Providing Health Services for Hispanic Americans","authors":"Steven K Rothschild MD","doi":"10.1016/S1082-7579(97)00083-6","DOIUrl":"10.1016/S1082-7579(97)00083-6","url":null,"abstract":"<div><p>Hispanics—consisting of Mexican-Americans, Puerto Ricans, Cubans, and Central and South Americans—are among the fastest growing population segments in the U.S. today. In order to provide effective health services, physicians must become familiar with demographic, epidemiologic, and cultural differences that affect Hispanics. Although recent literature suggests that Hispanics may have a lower adjusted mortality rate for all causes of death than non-Hispanic whites, certain conditions have particular importance. These include diabetes mellitus, cirrhosis, and homicide. Cultural issues in working with Hispanics are reviewed, as are guidelines for the use of interpreters in clinical practice. Twelve recommendations are made to assist psychiatrists and other health professionals who treat Hispanic patients.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 1","pages":"Pages 28-32"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00083-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85095529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abuse and Neglect of Children III: Sexual Abuse","authors":"Marsha D Rappley MD , Susan Woolford MD","doi":"10.1016/S1082-7579(97)00084-8","DOIUrl":"10.1016/S1082-7579(97)00084-8","url":null,"abstract":"<div><p>The recent unsolved murder of a young girl in Colorado raises many issues central to our understanding of the sexual abuse of children. These issues range from the horror felt by a nation, as details of a heinous crime emerge, to uncertainty about precocious and provocative behavior of children encouraged in this behavior by parents and by society. This is the third, and last, article in a series about the abuse and neglect of children. The first two articles discuss the context of abuse and recognition of abuse. This article focuses on important aspects about the sexual abuse of children and adolescents.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 1","pages":"Pages 13-15"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00084-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84168420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W.Victor R Vieweg MD , Linda M Dougherty PhD, , Christopher S Nicholson MD
{"title":"Mental Stress and the Cardiovascular System Part IV. Chronic Mental Stress and Cardiovascular Disease: Depression and Anxiety","authors":"W.Victor R Vieweg MD , Linda M Dougherty PhD, , Christopher S Nicholson MD","doi":"10.1016/S1082-7579(97)00080-0","DOIUrl":"10.1016/S1082-7579(97)00080-0","url":null,"abstract":"<div><p><span>In this portion of our series on mental stress and the cardiovascular system, we review the roles that depression and anxiety play in the development, progression, and outcome of coronary artery disease. Depression, in the immediate post-myocardial infarction period, is an important risk factor for subsequent unfavorable cardiac events during the 1- or 2-year period following infarction. In long-term follow-up, preliminary findings suggest that depressive symptoms identify subjects at increased risk for </span>coronary heart disease. Epidemiologic evidence is lacking to demonstrate that patients with anxiety-related psychiatric illness have a higher prevalence of cardiovascular disease than their less anxious counterparts. Depression and anxiety, of course, warrant treatment independent of their impact on coronary artery disease. Also, aspects of these psychiatric illnesses may mimic clinical features of coronary artery disease or may develop following the clinical manifestations of coronary artery disease.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"3 1","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00080-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72667600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Author index for volume 2","authors":"","doi":"10.1016/S1082-7579(97)00092-7","DOIUrl":"https://doi.org/10.1016/S1082-7579(97)00092-7","url":null,"abstract":"","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"2 6","pages":"Page 181"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00092-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137228619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MD W. Victor R. Vieweg , PhD Linda M. Dougherty , MD Christopher S. Nicholson
{"title":"Mental stress and the cardiovascular system part III. chronic mental stress and cardiovascular disease: personality and behavior","authors":"MD W. Victor R. Vieweg , PhD Linda M. Dougherty , MD Christopher S. Nicholson","doi":"10.1016/S1082-7579(97)00062-9","DOIUrl":"10.1016/S1082-7579(97)00062-9","url":null,"abstract":"<div><p>In this portion of our review of mental stress and the cardiovascular system, we focus on type A behavior and hostility as a component of that behavior. For more than 30 years, clinicians and investigators have studied the relationship between behavior and cardiovascular disease. Despite these efforts, evidence remains divided on whether specific behavioral patterns adversely impact on the development, progression, and outcome of cardiovascular disease. The cardiovascular response to earthquakes in subjects with preexisting coronary artery disease provides a particularly useful model with which to study stress-induced cardiovascular changes in vulnerable patients.</p><p>Even though no preponderance of evidence links behavioral patterns with cardiovascular disease, we hope that medical professionals will provide their patients with general guidelines to reduce mental stress derived from adverse behavioral patterns and personality trait hostility. Stress reduction usually promotes mental health, yields a greater capacity to live a healthy life, and helps patients comply with somatic and nonsomatic treatments of their cardiovascular illnesses.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"2 6","pages":"Pages 154-160"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00062-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79326918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tremor disorders: Identification and treatment","authors":"MD, MS Elan D. Louis","doi":"10.1016/S1082-7579(97)00063-0","DOIUrl":"10.1016/S1082-7579(97)00063-0","url":null,"abstract":"<div><p>Tremor, one of the most common neurological disorders, may be defined simply as a rhythmic and sinusoidal movement. The abundant array of tremors may be classified along multiple axes, and this results in a nosology which can be confusing to the novice. In general, however, all tremors may be simply classified as either rest tremors or action tremors. This review focuses on some of the more common tremor disorders as well as those that are most relevant to clinical psychiatrists. The most common cause of rest tremor is Parkinson's disease, treated with levodopa, amantadine, and anticholinergic agents. The most common cause of action tremor is physiologic tremor and essential tremor, treated with propranolol and primidone. The major indications for treating tremor are social embarrassment or functional disability.</p></div>","PeriodicalId":100909,"journal":{"name":"Medical Update for Psychiatrists","volume":"2 6","pages":"Pages 172-176"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1082-7579(97)00063-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80837347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}