PsychiatricTimes Members: Login | Register

|     

 
COUCH IN CRISIS

Parity Laws: Powerful Weapon—or Pipe Dream?
Psychiatric Times,  May 6, 2013
Grief and Depression: The Sages Knew the Difference
Psychiatric Times,  April 29, 2013
US Physicians and Burnout: Optimistic Psychiatrists Take Heart?
Psychiatric Times,  April 26, 2013
Lighting a Candle in Newtown
Psychiatric Times,  April 17, 2013
The Obama Plan—Spending Mental Health Money in All the Wrong Places
Psychiatric Times,  April 12, 2013

 
PATIENT RESOURCES
PDHA1
ghr.nlm.nih.gov - 3/18/13
PDHB
ghr.nlm.nih.gov - 3/18/13
Hystrix-like ichthyosis with deafness
ghr.nlm.nih.gov - 3/18/13
 
CLINICAL TRIALS
www.jmir.org/article/downloadSuppFile/1898/4397
www.jmir.org -
www.cdc.gov/nchs/data/dvs/2gmanual.pdf
www.cdc.gov -
Instruction manual part 2e- Volume 3
www.cdc.gov -

 
CONNECT WITH US
Become a fan on
Facebook
Add us on
Google Plus
Follow us on
Twitter
Join us on
Linked in
Sign up for our
Newsletters
Subscribe to our
RSS Feed

Conversion Disorder
 
LATEST FEATURES
September 1, 2006
A Case of Pseudosomatization Disorder
Particularly because 25% to 50% of patients with conversion disorder eventually have a nonpsychiatric illness that explains their symptoms, it... More »
November 1, 2005
The Challenge of Psychogenic Nonepileptic Seizures

psychogenic nonepileptic seizures, PNES, nonepileptic psychogenic seizures, NEPS, conversion disorder, somatoform disorder, epilepsy

More »
Showing 2 results.
 
JOURNAL SCAN
JAMA Network | JAMA | Comparison of Presenting Complaint vs Discharge Diagnosis for Identifying Nonemergency Emergency Department VisitsPresenting Complaint vs Discharge Diagnosis
jama.jamanetwork.com - 3/20/13
0. Search. Original Contribution| March 20, 2013. Comparison of Presenting Complaint vs Discharge Diagnosis for Identifying Nonemergency Emergency Department Visits FREE. Maria C. Raven, MD, MPH, MSc; Robert A. Lowe, MD, MPH; Judith Maselli, MSPH;
PLOS ONE: Varroa-Virus Interaction in Collapsing Honey Bee Colonies
www.plosone.org - 3/19/13
PLOS ONE: an inclusive, peer-reviewed, open-access resource from the PUBLIC LIBRARY OF SCIENCE. Reports of well-performed scientific studies from all disciplines freely available to the whole world.
PLOS Genetics: Complex Patterns of Genomic Admixture within Southern Africa
www.plosgenetics.org - 3/14/13
PLOS Genetics is an open-access
Recent advances in management of alkaptonuria (invited review; best practice article)
jcp.bmj.com - 3/13/13

Alkaptonuria (AKU) is an autosomal recessive condition arising as a result of a genetic deficiency of the enzyme homogentisate 1,2 dioxygenase and characterised by accumulation of homogentisic acid (HGA). Oxidative conversion of HGA leads to production of a melanin-like polymer in a process termed ochronosis. The binding of ochronotic pigment to the connective tissues of the body leads to multisystem disorder dominated by premature severe spondylo-arthropathy. Other systemic features include stones (re

The value of 'positive' clinical signs for weakness, sensory and gait disorders in conversion disorder: a systematic and narrative review
jnnp.bmj.com - 3/5/13

Experts in the field of conversion disorder have suggested for the upcoming DSM-V edition to put less weight on the associated psychological factors and to emphasise the role of clinical findings. Indeed, a critical step in reaching a diagnosis of conversion disorder is careful bedside neurological examination, aimed at excluding organic signs and identifying ‘positive’ signs suggestive of a functional disorder. These positive signs are well known to all trained neurologists but their valid

 
MEDLINE
Hippocampal perfusion predicts impending neurodegeneration in REM sleep behavior disorder.
pubmed.gov - 12/10/12
Patients with idiopathic REM sleep behavior disorder (IRBD) are at risk for developing Parkinson disease (PD) and dementia with Lewy bodies (DLB). We aimed to identify functional brain imaging patterns predicting the emergence of PD and DLB in patients with IRBD, using SPECT with (99m)Tc-ethylene cysteinate dimer (ECD).|Twenty patients with IRBD were scanned at baseline during wakefulness using (99m)Tc-ECD SPECT. After a follow-up of 3 years on average, patients were divided into 2 groups according to whether or not they developed defined neurodegenerative disease (PD, DLB). SPECT data analysis comparing regional cerebral blood flow (rCBF) between groups assessed whether specific brain perfusion patterns were associated with subsequent clinical evolution. Regression analysis between rCBF and clinical markers of neurodegeneration (motor, color vision, olfaction) looked for neural structures involved in this process.|Of the 20 patients with IRBD recruited for this study, 10 converted to
Delayed diagnosis of adrenal insufficiency in a patient with severe penoscrotal hypospadias due to two novel P450 side-change cleavage enzyme (CYP11A1) mutations (p.R360W; p.R405X).
pubmed.gov - 11/30/12
Cytochrome P450 side-chain cleavage enzyme (CYP11A1) catalyses the first and rate-limiting step of steroidogenesis, the conversion of cholesterol to pregnenolone. CYP11A1 deficiency is commonly associated with adrenal insufficiency, and in 46,XY individuals, with variable degrees of disorder of sex development (DSD).|The patient was born with hyperpigmentation, micropenis, penoscrotal hypospadias, and mild cryptorchidism. Biochemical and hormonal findings were normal except for low testosterone and low-borderline cortisol. However, no short synacthen test was undertaken. Development was unremarkable apart from an episode labeled as sepsis with documented hyperkalemia and elevated C-reactive protein at age 15 days. Diagnosis of 46,XY DSD was made at age 2.5 months. Progression of hyperpigmentation prompted further investigations and the diagnosis of adrenal insufficiency was established at 2 years with raised ACTH, normal renin activity, and failure of cortisol to respond to short
Psychiatric disorders in neurology.
pubmed.gov - 9/30/12
Psychiatric disorders (PDs) in neurology are more frequent then it verified in routine exam, not only in the less developed but also in large and very developed neurological departments. Furthermore, psychiatric symptoms (PSs) in neurological disorders (NDs) among primary health care physicians and other specialties are often neglected. Anxiety and depression are most common, but hallucinations, delusions, obsessive-compulsive disorder and delirium or confusional state are also frequent comorbidity in many neurological conditions such as stroke, epilepsy, multiple sclerosis (MS), Parkinson disease (PD). Depression and NDs also have a bidirectional relationship, as not only are patients, for example with stroke at greater risk of developing depression, but patients with depression have a two-fold greater risk of developing a stroke, even after controlling for other risk factors. Dementia or cognitive impairment are part of clinical picture of PD, stroke patients, patients with MS,
Nondermatomal somatosensory deficits in chronic pain patients: are they really hysterical?
pubmed.gov - 8/31/12
Patients with chronic pain disorders frequently show nondermatomal somatosensory deficits (NDSDs) that are considered to be functional. Typically, NDSDs show quadratomal or hemibody distribution ipsilateral to the areas of chronic pain. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition and the International Classification of Diseases, 10th revision, such functional somatosensory deficits are classified in the chapter "conversion disorder." Many publications also used the term "hysterical sensory loss." However, doubts are increasing about this one-sided psychiatric view. We aimed to better characterize the biopsychosocial factors associated with NDSDs. Therefore, we compared 2 groups of inpatients with chronic pain disorder, of whom 90 suffered from NDSDs and 90 did not. The patients with NDSDs all showed widespread somatosensory deficits with hemibody distribution. On logistic regression analysis, history of a prior physical trauma was positively
Mutations in the profilin 1 gene cause familial amyotrophic lateral sclerosis.
pubmed.gov - 8/22/12
Amyotrophic lateral sclerosis (ALS) is a late-onset neurodegenerative disorder resulting from motor neuron death. Approximately 10% of cases are familial (FALS), typically with a dominant inheritance mode. Despite numerous advances in recent years, nearly 50% of FALS cases have unknown genetic aetiology. Here we show that mutations within the profilin 1 (PFN1) gene can cause FALS. PFN1 is crucial for the conversion of monomeric (G)-actin to filamentous (F)-actin. Exome sequencing of two large ALS families showed different mutations within the PFN1 gene. Further sequence analysis identified 4 mutations in 7 out of 274 FALS cases. Cells expressing PFN1 mutants contain ubiquitinated, insoluble aggregates that in many cases contain the ALS-associated protein TDP-43. PFN1 mutants also display decreased bound actin levels and can inhibit axon outgrowth. Furthermore, primary motor neurons expressing mutant PFN1 display smaller growth cones with a reduced F/G-actin ratio. These observations
 
PRACTICE GUIDELINES
National Guideline Clearinghouse | Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder.
www.guidelines.gov -
Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder.
untitled
www.cps.ca -
Renew your membership Membership and section fees are now past due. Renew online at www.cps.ca to ensure you retain your membership privileges. www.cps.ca Governments must do more to protect Canadian kids OTTAWA Canadas provincial and
Microsoft PowerPoint
www.naspghan.org -
pattern w/in individuals Vomiting 4 X/h Return to baseline health between No attributable to a disorder 2 attacks of nausea and vomiting lasting hours to ... fasting and/or high protein meal Abnormal neuro exam: altered mental
National Guideline Clearinghouse | VA/DoD clinical practice guideline for management of opioid therapy for chronic pain.
www.guidelines.gov -
VA/DoD clinical practice guideline for management of opioid therapy for chronic pain.
National Guideline Clearinghouse | Practice parameters for the assessment and treatment of children and adolescents with depressive disorders.
www.guidelines.gov -
Practice parameters for the assessment and treatment of children and adolescents with depressive disorders.



 
FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 
 
COMMENTS
 
CAREER CENTER