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Venous thromboembolism risk assessment in old age psychiatry 老年精神病学中的静脉血栓栓塞风险评估
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.37.11.372A
A. Choudry
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引用次数: 0
Where There is No Child Psychiatrist: A Mental Healthcare Manual 哪里没有儿童精神病医生:一本精神保健手册
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.044925
Isabelle Akin-Ojo
{"title":"Where There is No Child Psychiatrist: A Mental Healthcare Manual","authors":"Isabelle Akin-Ojo","doi":"10.1192/PB.BP.113.044925","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044925","url":null,"abstract":"Where There is No Child Psychiatrist: A Mental Healthcare Manual Valsamma Eapen, Philip Graham, Shoba Srinath RCPsych Publications, 2012, £10.00, pb, 208 pp. ISBN: 9781908020482 \u0000\u0000This manual is for primary care health professionals working in low- and middle-income (LAMI) countries. Studies have","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"51 1","pages":"375-376"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86460361","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}
引用次数: 2
Venous thromboembolism prophylaxis - beware of potential risks 静脉血栓栓塞预防-注意潜在风险
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.37.11.372
R. Patel
{"title":"Venous thromboembolism prophylaxis - beware of potential risks","authors":"R. Patel","doi":"10.1192/PB.37.11.372","DOIUrl":"https://doi.org/10.1192/PB.37.11.372","url":null,"abstract":"Van Zyl et al ’s study[1][1] highlights the importance of increased awareness of venous thromboembolism (VTE) in mental health services for older people. However, it is also important to be aware of the risks of thromboprophylaxis within this setting. The authors claim that the incidence rates of","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"28 1","pages":"372-372"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85477925","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}
引用次数: 0
Patients’ awareness of the mental health tribunal and capacity to make requests 患者对精神卫生法庭的认识和提出要求的能力
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.042945
Nuwan Galappathie, R. Harsh, Mathew Thomas, A. Begum, D. Kelly
{"title":"Patients’ awareness of the mental health tribunal and capacity to make requests","authors":"Nuwan Galappathie, R. Harsh, Mathew Thomas, A. Begum, D. Kelly","doi":"10.1192/PB.BP.113.042945","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042945","url":null,"abstract":"Aims and method To evaluate patient awareness of the mental health tribunal and identify any association between capacity to request a tribunal and frequency of completed hearings. A cohort of detained patients within a secure hospital were assessed and data for past tribunals evaluated by presence of capacity and mode of application.\u0000\u0000Results Of the 65 patients evaluated, 78% were aware of the tribunal’s power to discharge, 14% were aware of its power to recommend leave and 4% were aware of its power to recommend transfer; 12% lacked capacity to request a tribunal. Patients with capacity received more completed hearings per year than those without, both overall (0.58 v . 0.29 per year, P = 0.04) and by patient application (0.45 v . 0.12 per year, P = 0.03).\u0000\u0000Clinical implications Hospital managers should ensure that all detained patients have regular assessments of their capacity to request a tribunal and that those who lack capacity are referred to the Secretary of State when it is considered that a tribunal would be in their best interests. Hospital managers should consider referring such cases to the Secretary of State every 12 months.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"51 1","pages":"363-366"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74037184","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}
引用次数: 3
Drug information update: agomelatine 药物信息更新:阿戈美拉汀
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.043505
D. Whiting, P. Cowen
{"title":"Drug information update: agomelatine","authors":"D. Whiting, P. Cowen","doi":"10.1192/PB.BP.113.043505","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043505","url":null,"abstract":"Agomelatine is a new antidepressant, licensed for the treatment of unipolar major depression, with a mode of action that combines activation of melatonin receptors with blockade of 5-HT 2C receptors. Agomelatine is notable for its short duration of action in the body and modest side-effect burden; however, a number of theoretical and practical challenges have limited its adoption into mainstream treatment in the UK. Current meta-analyses show marginal clinical benefits of agomelatine relative to placebo and an association with occasional increases in liver transaminases. Theoretically it is not clear whether agomelatine does block brain 5-HT 2C receptors in humans at therapeutic doses and the optimum daily timing of administration in depression has not been clearly established. However, agomelatine’s novel mode of action justifies further study, perhaps with the eventual aim of matching its use in depression to patients with specific disturbances in circadian rhythm.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"28 1","pages":"356-358"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87976188","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}
引用次数: 6
Look back in anger: flaws in the retrospective evaluation of risk assessment 愤怒地回头看:风险评估的回顾性评估缺陷
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.37.11.373
M. Large, O. Nielssen
{"title":"Look back in anger: flaws in the retrospective evaluation of risk assessment","authors":"M. Large, O. Nielssen","doi":"10.1192/PB.37.11.373","DOIUrl":"https://doi.org/10.1192/PB.37.11.373","url":null,"abstract":"The team from the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness recently posted a report on quality of risk assessment prior to suicide and homicide.[1][1] The report describes an un-masked retrospective survey of the risk assessments found in the case notes","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"34 1","pages":"373-373"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84299650","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}
引用次数: 2
The risk in risk assessment 风险评估中的风险
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.37.11.372C
K. Dudleston
{"title":"The risk in risk assessment","authors":"K. Dudleston","doi":"10.1192/PB.37.11.372C","DOIUrl":"https://doi.org/10.1192/PB.37.11.372C","url":null,"abstract":"Szmukler et al [1][1] should be warmly congratulated on their clear, authoritative critique of the recent developments in the law of England and Wales concerning mental health. Their analysis of the assessment of risk is particularly telling: ‘Rare events are virtually impossible to predict with","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"11 1","pages":"372-373"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88900482","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}
引用次数: 0
Psychodynamic understanding of serious events 对严重事件的心理动力学理解
The psychiatrist Pub Date : 2013-10-01 DOI: 10.1192/PB.37.10.340B
Paul Foster
{"title":"Psychodynamic understanding of serious events","authors":"Paul Foster","doi":"10.1192/PB.37.10.340B","DOIUrl":"https://doi.org/10.1192/PB.37.10.340B","url":null,"abstract":"Mark Cohen’s editorial on the organisational processes surrounding the investigation of serious events[1][1] is a valuable contribution to an area of great importance in the work of mental health professionals. However, in my view, he might have commented on other areas, further emphasising the","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"7 1","pages":"340-341"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84286129","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}
引用次数: 0
Opt-in letters 选择信
The psychiatrist Pub Date : 2013-10-01 DOI: 10.1192/PB.37.10.340
Simon Wilson, Frank Farnham, S. Henley
{"title":"Opt-in letters","authors":"Simon Wilson, Frank Farnham, S. Henley","doi":"10.1192/PB.37.10.340","DOIUrl":"https://doi.org/10.1192/PB.37.10.340","url":null,"abstract":"We work in a national mental health diversion service; this gives us a good overview of a range of mental health services across the country. We are writing to draw attention to a new development in a range of adult mental health services around the country (we have had experience of this in several","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"58 1","pages":"340-340"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85341008","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}
引用次数: 15
Compulsion in the community: Mental health professionals' views and experiences of CTOs 社区强迫:精神卫生专业人员对社区强迫的看法和经验
The psychiatrist Pub Date : 2013-10-01 DOI: 10.1192/PB.BP.112.038703
D. Coyle, R. Macpherson, C. Foy, A. Molodynski, Maya Biju, J. Hayes
{"title":"Compulsion in the community: Mental health professionals' views and experiences of CTOs","authors":"D. Coyle, R. Macpherson, C. Foy, A. Molodynski, Maya Biju, J. Hayes","doi":"10.1192/PB.BP.112.038703","DOIUrl":"https://doi.org/10.1192/PB.BP.112.038703","url":null,"abstract":"Aims and method We surveyed the views and experiences of all mental health professionals in adult community mental health teams and approved mental health professionals in 2Gether and Oxford Health NHS Foundation Trusts, regarding the use of community treatment orders (CTOs). Results A total of 288 surveys were completed (response rate 48%). Forty-eight (83%) psychiatrists and 142 (67%) non-psychiatrist mental health professionals were in favour of CTOs. The decision-making regarding CTOs was overwhelmingly clinically oriented for all professional groups. However, there were significant differences in views between groups regarding the effects of bureaucracy, the infringement of human rights and coercion. Clinical implications Multidisciplinary team involvement is crucial in decisions regarding CTOs and may protect against idiosyncratic or unhelpful practice. Further training for staff is urgently required and there may be a case for creating small local reference groups that can develop expertise and provide advice and support for clinical teams.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"315-321"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83128122","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}
引用次数: 14
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