84,405 results match your criteria psychiatric complications

Health-related quality of life for early-stage cervical cancer survivors after primary radical surgery followed by radiotherapy versus radical surgery alone.

J Obstet Gynaecol 2021 Sep 23:1-8. Epub 2021 Sep 23.

Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

This study compared the quality of life (QoL) of 265 stage IA2-IIA cervical cancer patients treated with radical surgery alone (group 1: 137 patients) versus those who underwent primary radical surgery followed by radiotherapy (group 2: 128 patients) and identified clinical characteristics that predict the poor quality of life. All participants completed quality of life questionnaires: EORTC QLQ-C30 and CMU cervical cancer QoL. For the EORTC QLQ-C30, the study groups were comparable regarding global health status/QoL scale and summary scores. Read More

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September 2021

Psychosis associated with suspected SARS-CoV-2 encephalitis with response to steroids: a case report.

Infect Dis (Lond) 2021 Sep 22:1-5. Epub 2021 Sep 22.

Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.

Introduction: The SARS-Cov-2 infection has multiple neurologic manifestations including encephalitis in multiple cases reported, however the psychosis as principal manifestation of this condition is infrequently.

Case Report: We report the case of a 48-year-old woman with a confirmed diagnosis of SARS-CoV-2 who developed paranoid and self-referential ideas with behavioural alteration and multiple findings on mental examination. Encephalitis associated with Covid-19 was suspected due to the neurological clinical presentation (persistent despite resolve hypoxaemia and systemic symptoms) and brain magnetic resonance image (MRI) that showed asymmetric hippocampal hyperintensities, although cerebrospinal fluid and electroencephalogram (EEG) were normal. Read More

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September 2021

Severe manifestations and treatment of COVID-19 in a transplanted patient with Fabry disease.

Mol Genet Metab Rep 2021 Sep 16:100802. Epub 2021 Sep 16.

Division of Genetics and Genomic Medicine, Department of Pediatrics, University of California, Irvine, CA, USA.

Fabry disease is an X linked disease caused by pathogenic variants in the GLA gene. The cardiovascular and renal systems are most affected in Fabry patients and may require heart or kidney transplants in the late stages of the disease depending on severity of manifestations. Enzyme replacement therapy (ERT) has proven to delay progression of Fabry disease considerably, especially when started early in life. Read More

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September 2021

Postacute Sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 Infection: A State-of-the-Art Review.

JACC Basic Transl Sci 2021 Sep 15. Epub 2021 Sep 15.

Division of Health Care Delivery and Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.

The vast majority of patients (>99%) with severe acute respiratory syndrome coronavirus 2 survive immediate infection but remain at risk for persistent and/or delayed multisystem. This review of published reports through May 31, 2021, found that manifestations of postacute sequelae of severe acute respiratory syndrome coronavirus 2 infection (PASC) affect between 33% and 98% of coronavirus disease 2019 survivors and comprise a wide range of symptoms and complications in the pulmonary, cardiovascular, neurologic, psychiatric, gastrointestinal, renal, endocrine, and musculoskeletal systems in both adult and pediatric populations. Additional complications are likely to emerge and be identified over time. Read More

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September 2021

Novel Presentation of Cardiotoxicity and Other Complications in Tricyclic Antidepressant Poisoning.

Cureus 2021 Aug 14;13(8):e17181. Epub 2021 Aug 14.

Basic Sciences, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

Tricyclic antidepressant (TCA) is a known frequently used and highly potent antidepressant that serves as an unsuspecting source of acute human poisoning. We present a case of an Asian female in her mid-30s who suffered TCA toxidrome that manifested as severe cardiovascular toxicities including arrhythmia characterized by QT elongation that was managed emergently. Hemodynamics and ECG findings improved gradually following appropriate therapy in the intensive care unit. Read More

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How the COVID-19 outbreak affected patients with diabetes mellitus?

Int J Diabetes Dev Ctries 2021 Sep 10:1-9. Epub 2021 Sep 10.

Medical School Department of Endocrinology and Metabolism, Uludag University, Bursa, Turkey.

Background: Global COVID-19 outbreak has been such a stressful experience for most of the people. Using a web-based cross-sectional study, we aimed to evaluate the acute stress response, depression, and anxiety in patients with diabetes mellitus (DM) during the COVID-19 pandemic, and to examine the effect of these psychiatric problems on diet habits and glycemic controls of patients.

Methods: This web-based survey of COVID-19 was sent to the patients through the Whatsapp platform. Read More

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September 2021

Monitoring New Symptoms After COVID-19 Infection Among Primary Care Patients in New York City.

J Am Board Fam Med 2021 Sep-Oct;34(5):1014-1016

From the Department of Population Health, NYU Grossman School of Medicine, New York, NY (KT); Internal Medicine, NYU Langone Health, New York, NY (EK); Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, New York, NY (YY).

Introduction: COVID-19 affects multiple organ systems causing substantial long-term morbidity. The implications of the Post-Acute Sequelae of SARS-CoV-2 infection, particularly for primary care, remain unknown. This cross-sectional study examines new symptoms reported at primary care encounters during three post-acute follow-up intervals after initial SARS-CoV-2 infection. Read More

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September 2021

Takotsubo Syndrome: Optimizing Care with a Multidisciplinary Approach.

J Multidiscip Healthc 2021 10;14:2487-2499. Epub 2021 Sep 10.

Division of Neurology, Department of Medicine, Showa University School of Medicine, Tokyo, 142-8555, Japan.

Symptoms of takotsubo syndrome (TTS) include acute and transient regional systolic dysfunction of the left ventricle, as well as a variety of wall-motion abnormalities. The clinical features of TTS, including initial symptoms, cardiac biomarkers, and electrocardiogram (ECG) changes, are similar to those of acute coronary syndrome, with the exception that TTS patients typically have no obstructive coronary artery disease. TTS primarily affects elderly women, and emotional or physical stress is a common cause of the disease. Read More

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September 2021

Confabulation, amnesia and motor memory loss as a presentation of apparent ITPR1 antibody autoimmune encephalitis.

BMJ Case Rep 2021 Sep 16;14(9). Epub 2021 Sep 16.

Department of Internal Medicine, Psychiatry, Emory University, Atlanta, Georgia, USA.

A 59-year-old woman presented to the hospital with acute, hypoactive altered mental status. Her symptoms had begun 3 days prior when she developed hallucinations, urinary and faecal incontinence, and somnolence. She also exhibited confabulations, amnesia, motor memory loss and a wide-based gait. Read More

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September 2021

Trends in Incidence, and Mortality of Acute Exacerbation of Chronic Obstructive Pulmonary Disease in the United States Emergency Department (2010-2018).

COPD 2021 Sep 16:1-9. Epub 2021 Sep 16.

Division of Pulmonary and Critical Care Medicine, Wayne State University, Detroit, MI, USA.

Literature regarding trends of incidence, mortality, and complications of acute exacerbation of chronic obstructive pulmonary disease (COPD) in the emergency departments (ED) is limited. What are trends of COPD exacerbation in ED? Data were obtained from the Nationwide Emergency Department Sample (NEDS) that constitutes a 20% sample of hospital-owned EDs and inpatient sample in the US. All ED encounters were included in the analysis. Read More

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September 2021

Premorbid Characteristics as Predictors of Early Onset Versus Adult Onset in Patients With a First Episode of Psychosis.

J Clin Psychiatry 2021 09 14;82(6). Epub 2021 Sep 14.

Members of the PEPs Group are listed at the end of the article.

To study the differences in early-life characteristics between patients with an early onset of psychotic disorders (EOP, aged < 18 years) versus adult onset of psychotic disorders (AOP, aged ≥ 18 years) and to identify predictors of earlier onset.

278 patients with a first episode of psychosis between the ages of 7 and 35 years were recruited as part of a multicenter prospective longitudinal study conducted in Spain between January 1, 2009, and December 31, 2011, with diagnoses made for AOP using the Structured Clinical Interview for Axis I Disorders (SCID-I) and for EOP using the Schedule for Affective Disorders and Schizophrenia for School-Aged Children (K-SADS). Early-stage factors such as prenatal, perinatal, and other premorbid factors were registered and compared between EOP and AOP patients. Read More

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September 2021

Time to Evaluate the Clinical Repercussions of Zika Virus Vertical Transmission? A Systematic Review.

Front Psychiatry 2021 30;12:699115. Epub 2021 Aug 30.

Department of Pediatrics, Instituto Fernandes Figueira, Rio de Janeiro, Brazil.

Vertical transmission of Zika Virus (ZIKV) can be associated with several clinical features in newborn infants. The goal of the present review was to analyze the current state of knowledge regarding clinical repercussions following perinatal exposure to ZIKV in children up to 3 years of age. A systematic review of published studies was carried out, without the restriction of language or date of publication, identified in the databases PubMed, Virtual Health Library (BVS), Scopus, and Web of Science and the catalog for CAPES theses and dissertations. Read More

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Anxiety and Depression Impact on Inhospital Complications and Outcomes After Total Knee and Hip Arthroplasty: A Propensity Score-Weighted Retrospective Analysis.

J Am Acad Orthop Surg 2020 Nov 18. Epub 2020 Nov 18.

From the Department of Orthopeadic Surgery and Sports Medicine, Detroit Medical Center, Detorit, MI (Zalikha and El-Othmani), and the Department of Biomedical Sciences, Oakland University William Beaumont School of Medicine, Auburn Hills, MI (Karabon and Hajj Hussein).

Introduction: The purpose of this study was to assess the impact of anxiety and depression on immediate inhospital outcomes and complications after total joint arthroplasty of the hip (total hip arthroplasty [THA]) and knee (total knee arthroplasty [TKA]) using a large national registry.

Methods: Data from the National Inpatient Sample was used to identify all patients undergoing TKA and THA between 2006 and 2015. Patients were divided in four groups based on a concomitant diagnosis of depression, anxiety, depression plus anxiety, and neither depression nor anxiety (control group). Read More

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November 2020

Diagnosis and treatment of polycystic ovary syndrome in adolescents.

JAAPA 2021 Sep 13. Epub 2021 Sep 13.

J. Leocadia Conlon is the clinical director of Hawai'i CARES, a partnership between the Hawai'i Department of Health and the University of Hawai'i in Honolulu, Hawai'i, and an adjunct assistant professor in the George Washington University School of Medicine and Health Sciences in Washington, D.C. She is a recent graduate of the PhD program in translational health science at George Washington University, where her dissertation research focused on polycystic ovary syndrome in adolescents. Sharyn Malcolm is an attending physician in adolescent and young adult medicine, and co-medical director and director of reproductive health services at the Adolescent Health Center at Children's National Health System in Washington, D.C. She also is an assistant professor of pediatrics at George Washington University School of Medicine and Health Sciences. Maureen Monaghan is a clinical psychologist and an associate professor of psychiatry and behavioral sciences at Children's National Health System and George Washington University School of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Polycystic ovary syndrome (PCOS), characterized by ovulatory dysfunction and hyperandrogenism, is one of the most common endocrine disorders in women of reproductive age. Early diagnosis can help clinicians address associated longterm metabolic and reproductive health complications and mitigate the negative effects of PCOS on a patient's mental health and quality of life. Clinicians often are challenged by the diagnosis and management of PCOS because of controversies around diagnostic criteria, especially for adolescents. Read More

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September 2021

[Neuropsychiatric manifestations of COVID-19 in intensive care unit patients].

Tijdschr Psychiatr 2021 ;63(7):509-513

It has become clear that COVID-19 can lead to neuropsychiatric complications. In this article, three cases are discussed that illustrate how neuropsychiatric complications can manifest within the COVID-19 disease course. Patients are at risk to develop a severe, hyperactive delirium, which is often accompanied by anxiety and sometimes neurological symptoms. Read More

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September 2021

Kikuchi-Fujimoto Disease: A Rare Cause of Cervical Lymphadenopathy.

Cureus 2021 Aug 9;13(8):e17021. Epub 2021 Aug 9.

Psychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Kikuchi-Fujimoto disease (KFD) is a rare benign disease, clinically characterized by fever and tender cervical lymphadenopathy affecting the posterior cervical lymph nodes. This disease is usually accompanied by night sweats, rashes, and headaches. It generally affects young individuals, especially females, of Oriental-Asian origin. Read More

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Grieving as a form of learning: Insights from neuroscience applied to grief and loss.

Curr Opin Psychol 2021 Aug 20;43:317-322. Epub 2021 Aug 20.

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Recent grief research suggests that the influential cognitive stress theory should be updated with evidence from cognitive neuroscience. Combining human and animal neuroscience with attachment theory, we propose that semantic knowledge of the everlasting nature of the attachment figure and episodic, autobiographical memories of the death are in conflict, perhaps explaining the duration of grieving and generating predictions about complications in prolonged grief disorder (PGD). Our gone-but-also-everlasting model emphasizes that grieving may be a form of learning, requiring time and experiential feedback. Read More

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Preterm infant heart rate is lowered after Family Nurture Intervention in the NICU: Evidence in support of autonomic conditioning.

Early Hum Dev 2021 Aug 31;161:105455. Epub 2021 Aug 31.

Nurture Science Program, Department of Pediatrics, Columbia University Medical Center, New York, NY, United States of America; Developmental Neuroscience, Department of Psychiatry, Columbia University Medical Center, New York, NY, United States of America. Electronic address:

Background: Cardiac complications after premature birth are associated with negative long-term consequences to health. The Family Nurture Intervention (FNI) has been designed to support mother-infant parasympathetic calming sessions in the neonatal intensive care unit (NICU). FNI has shown neurodevelopmental and autonomic benefit across infant development. Read More

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A multi-disciplinary approach to weight management of school-age girls: a study protocol.

Pediatr Endocrinol Diabetes Metab 2021 ;27(2):76-81

Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Introduction: There is lack of data about the combination of multiple approaches to control being overweight and obesity in adolescents. This study aimed to evaluate the effect of a combination program including smart-phone nutrition education, physical activity, and cognitive behavioral therapy (CBT) programs in the management of obesity and overweight among elementary school girls in comparison with a traditional education method.

Material And Methods: The primary outcome of this study is the assessment of changes in anthropometric data after 10 weeks. Read More

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September 2021

Episode of COVID-19 Telepsychiatry Session Key Origination Upon Swarm-Based Metaheuristic and Neural Perceptron Blend.

SN Comput Sci 2021 4;2(6):445. Epub 2021 Sep 4.

Department of Computer Science, The University of Burdwan, Burdwan, WB India.

Current pandemic has immensely disrupted the entire world in the field of medical science. The novel corona virus has not only brought physical sufferings but also huge psychiatric complications on the patients. Treating the psychiatric issues from remote locations can be best done through telepsychiatry. Read More

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September 2021

Association Between Comorbid Depression and Rates of Postoperative Complications, Readmissions, and Revision Arthroscopic Procedures After Elective Hip Arthroscopy.

Orthop J Sports Med 2021 Sep 7;9(9):23259671211036493. Epub 2021 Sep 7.

Department of Orthopedic Surgery, University of California-San Francisco, San Francisco, California, USA.

Background: Depression and related psychiatric diagnoses are common in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). The effects of depression on postoperative complications, readmissions, and additional ipsilateral hip surgery are not well studied.

Hypothesis: Patients with preoperative depression who undergo hip arthroscopy for FAIS would experience higher rates of 90-day postoperative complications and readmissions, with an increased risk of additional ipsilateral hip procedures, as compared with patients without depression. Read More

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September 2021

Endoscopic Surveillance in Idiopathic Achalasia.

Cureus 2021 Aug 25;13(8):e17436. Epub 2021 Aug 25.

Psychiatry and Behavioral Sciences, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Idiopathic achalasia is a rare esophageal dysmotility disorder of unknown etiology with only palliative treatment available. Many studies have established a significantly increased risk of esophageal cancer in patients with achalasia. However, current guidelines advise against routine surveillance due to low absolute risk and a paucity of high-quality evidence and cost-effectiveness assessments. Read More

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Brain profiling in murine colitis and human epilepsy reveals neutrophils and TNFα as mediators of neuronal hyperexcitability.

J Neuroinflammation 2021 Sep 12;18(1):199. Epub 2021 Sep 12.

Department of Pathology, Stanford University, Stanford, CA, USA.

Background: Patients with chronic inflammatory disorders such as inflammatory bowel disease frequently experience neurological complications including epilepsy, depression, attention deficit disorders, migraines, and dementia. However, the mechanistic basis for these associations is unknown. Given that many patients are unresponsive to existing medications or experience debilitating side effects, novel therapeutics that target the underlying pathophysiology of these conditions are urgently needed. Read More

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September 2021

The Joys of Older Motherhood: A questionnaire-based survey of mothers who delivered over the age of 50 years.

Eur J Obstet Gynecol Reprod Biol 2021 Aug 2;265:169-174. Epub 2021 Aug 2.

Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London N18 1QX, United Kingdom.

Objective: It is recognised that advanced maternal age is associated with adverse pregnancy outcomes. It is less known what the psychological impact of having a pregnancy in later maternal age is. This study aimed to establish whether women having children over 50 experience challenges with regards to their mental well-being during the pregnancy and thereafter. Read More

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Does laparoscopic hysterectomy + bilateral salpingectomy decrease the ovarian reserve more than total abdominal hysterectomy? A cohort study, measuring anti-Müllerian hormone before and after surgery.

BMC Womens Health 2021 Sep 11;21(1):329. Epub 2021 Sep 11.

Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Decreased ovarian function and reserve is one of the complications of hysterectomy. In this study, we aimed to compare anti-müllerian hormone (AMH) levels between total abdominal hysterectomy (TAH), and total laparoscopic hysterectomy (TLH).

Methods: In this prospective cohort study, serum levels of AMH were compared between the groups undergoing TAH + bilateral salpingectiomy and TLH, in 66 patients (33 in each group) who referred to the hospitals of Shiraz University of Medical Sciences for hysterectomy during one years of work. Read More

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September 2021

Genital self-mutilation: A challenging pathology (Review).

Exp Ther Med 2021 Oct 5;22(4):1130. Epub 2021 Aug 5.

Department of Medical and Surgical Specialities, Faculty of Medicine, 'Transilvania' University of Brasov, 500019 Brasov, Romania.

Genital self-mutilation is a pathology that leads to numerous and important discussions, rarely presented in the medical literature. There have been many attempts to explain the reasons behind these medical phenomena, but single cases have been generally reported, making it extremely difficult to draw valid conclusions. It is acknowledged that there are psychotic and non-psychotic causes, from psychiatric problems and sexual identity disorders to cultural or religious reasons, alcohol or recreational drug consumption, unconventional types of sexual satisfaction or self-satisfaction. Read More

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October 2021

Primary, secondary or less frequent causes of immune thrombocytopenia: A case report.

Exp Ther Med 2021 Oct 2;22(4):1096. Epub 2021 Aug 2.

Department of Plastic Reconstructive Surgery, Emergency University Hospital, 050098 Bucharest, Romania.

Primary immune thrombocytopenia (ITP) is characterized by isolated low platelet count and it is a diagnosis of exclusion, contrasting to secondary ITP. Therefore, a positive diagnosis is difficult and requires extensive investigation. Some of the underlying conditions that are associated with ITP are lymphoproliferative disorders and infections, especially viral ones. Read More

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October 2021

Assessment of Anxiety, Depression, Attitude, and Coping Strategies of the Egyptian Population during the COVID-19 Pandemic.

J Clin Med 2021 Sep 3;10(17). Epub 2021 Sep 3.

Department of Molecular and Cellular Biology, College of Osteopathic Medicine, Sam Houston State University, Conroe, TX 77304, USA.

Background: The COVID-19 pandemic has imposed several challenges on different populations all around the world, with stress being identified as one of the major challenges. This study aims to investigate the impact of COVID-19-induced stress on the prevalence and severity of anxiety and/or depression, factors that predict the development of anxiety and/or depression, and coping strategies in the Egyptian population during the COVID 19 outbreak.

Subjects And Methods: This is an observational cross-sectional online study. Read More

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September 2021