Paolo Fusar-Poli, Dominic Oliver, Giulia Spada, Andres Estrade, Philip McGuire
BACKGROUND: Improving outcomes of a First Episode of Psychosis (FEP) relies on the ability to detect most individuals with emerging psychosis and treat them in specialised Early Intervention (EI) services. Efficacy of current detection strategies is undetermined. METHODS: RECORD-compliant clinical, 6-year, retrospective, transdiagnostic, lifespan-inclusive, Electronic Health Record (EHR) cohort study, representing real-world secondary mental healthcare in South London and Maudsley (SLaM) NHS...
November 21, 2020: Schizophrenia Research
Tasuku Okui
PURPOSE: This study aimed to analyze the prevalence of common psychiatric disorders in Japan via an age-period-cohort (APC) analysis. METHODS: Data were used on the prevalence of schizophrenia, schizotypal, and delusional disorders; mood [affective] disorders (mood disorders, hereafter); and neurotic, stress-related, and somatoform disorders from the 1999-2017 Patient Survey in Japan. The age group was defined as 20-89 years with 5-year increments; the cohort was assigned for each age group of each year with a 1-year shift...
November 22, 2020: Social Psychiatry and Psychiatric Epidemiology
T I Boncalo, O B Polyakova
The purpose of the study is to determine the specifics of neurotization of medical workers with emotional exhaust. Out of 6,830 medical workers surveyed, 1,012 were selected with severe emotional exhaust in order to further determine their specificity of neurotization. Used: Maslach Burnout Inventory questionnaire (MBI), modification of Maslach Burnout Inventory questionnaire (mod MBI), burnout questionnaire (BQ), neurotic level diagnosis technique (NLDT), clinical questionnaire for identifying and evaluating neurotic conditions (CQIENC), symptomatic questionnaire (SQ)...
October 2020: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Marcelo R De Rezende, Bruno A Veronesi, Renata G Paulos, Alvaro B Cho, Samuel Ribak, Rames M Junior
PURPOSE: In upper and chronic brachial plexus injuries for which neurological surgery is not a good treatment option, one possibility for gaining elbow flexion is free functional muscle transfer. The primary aim of our study was to evaluate the elbow flexion gain achieved by free gracilis muscle transfer with partial ulnar nerve neurotization. METHODS: This surgery was performed in 21 patients with upper and chronic (> 12 months) brachial plexus injuries. The level of injury, patient age, the time between trauma and surgery, the affected side, and the aetiology of the lesion were recorded...
November 18, 2020: International Orthopaedics
Congcong Ma, Jia Kang, Tao Xu, Ye Zhang, Yidi Ma, Lan Zhu
INTRODUCTION AND HYPOTHESIS: Personality traits can play an important role in outcomes of different chronic disorders. We hypothesize that the pessary treatment outcomes in symptomatic pelvic organ prolapse (POP) can also be influenced by personality traits. METHODS: This prospective observational study included consecutive women with symptomatic POP seeking pessary treatment between December 2018 and January 2020. The personality profile was measured using the Eysenck Personality Questionnaire (EPQ-R) at baseline, and patient health-related quality of life (HRQoL) was measured using the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) and the Pelvic Floor Distress Inventory (PFDI-20) at baseline and at 3 months...
November 18, 2020: International Urogynecology Journal
Xiaomin Wang, Ke Wang, Kaiyong Huang, Xiangmin Wu, Wenxiu Huang, Li Yang
BACKGROUND: The psychological status of drivers is related to adverse driving behaviors. Although there are several studies on the mental health and traffic accidents among bus drivers, related studies on the association between mental health and individual characteristics are scarce. METHODS: Our report is on a cross-sectional study of bus drivers that took place between October 2014 and May 2016. A total of 596 bus drivers who worked for transportation companies and underwent occupational physical examinations at The Guangxi Zhuang Autonomous Region workers' Hospital during the study period were included...
November 13, 2020: Physiology & Behavior
Tanya Trinh, Michael Mimouni, Gisella Santaella, Eyal Cohen, Clara C Chan
PURPOSE: To review the surgical modalities available to treat Mackie stage 2 and stage 3 neurotrophic keratopathy. METHODS: Literature review and technique descriptions. RESULTS: The following procedures are described in detail with accompanying videos: temporary, permanent, and botox-assisted tarsorrhaphy; amniotic membrane transplant; keratoplasty with amniotic membrane and tarsorrhaphy augmentation; Gunderson and conjunctival pedicle flaps; buccal graft transplantation; and neurotization...
November 13, 2020: Eye & Contact Lens
Tanya Trinh, Gisella Santaella, Michael Mimouni, Zale Mednick, Eyal Cohen, Nir Sorkin, David S Rootman, Allan R Slomovic, Clara C Chan
PURPOSE: To characterize patients with neurotrophic keratopathy (NK) and describe treatment outcomes. METHODS: Setting: Two institutional tertiary cornea clinics. PATIENTS: Medical record review of 37 consecutive patients (37 eyes) with NK. INTERVENTION: Management of NK. MAIN OUTCOME MEASURES: Best-corrected visual acuity (BCVA), epithelial defects (ED), re-epithelialization time, number of perforations, need for penetrating keratoplasty and tarsorrhaphy...
November 12, 2020: Ocular Surface
A Zaizi, O Dellero, B Rouijel, A Amrani
BACKGROUND AND AIM: The aim of this article was to study isolated axillary nerve injury, his etiologies, symptomatology and treatment via nerve transfer or neurotization. METHODS: We describe the procedure of long head triceps radial branch transfer to the axillary nerve motor branch in adolescent patient with right deltoid muscle palsy and shoulder anesthesia following a motorcycle crush six months ago. RESULTS: Total recovery of the shoulder sensibility, abduction and extension at one-year follow-up, and patient returned progressively to his normal live and sports activities without any functional effect on the donor muscle...
October 28, 2020: International Journal of Surgery Case Reports
Ari Brouwer, Robin Lester Carhart-Harris
This paper introduces a new construct, the 'pivotal mental state', which is defined as a hyper-plastic state aiding rapid and deep learning that can mediate psychological transformation. We believe this new construct bears relevance to a broad range of psychological and psychiatric phenomena. We argue that pivotal mental states serve an important evolutionary function, that is, to aid psychological transformation when actual or perceived environmental pressures demand this. We cite evidence that chronic stress and neurotic traits are primers for a pivotal mental state, whereas acute stress can be a trigger...
November 11, 2020: Journal of Psychopharmacology
Tomoyuki Yano, Ryo Karakawa, Hidehiko Yoshimatsu, Yuma Fuse, Tomoyoshi Shibata, Yukiko Kuramoto, Nobuko Suesada, Hiroki Miyashita
The profunda artery perforator (PAP) flap has become an alternative option for breast reconstruction. Reliable perforators arise through the adductor magnus muscle, and dissection of the perforator is straightforward. Recently, we have found that the PAP flap with the sensory nerves can be harvested as an innervated flap. We discuss the feasibility of PAP flap neurotization. We reviewed 13 patients for whom innervated PAP flap harvesting was considered. The average age was 50.7 years. There are 3 different patterns of innervated PAP flap harvesting, Type 1: including a sensory nerve that can be found in the adipose tissue around the PAP flap, Type 2: including a sensory nerve that runs along the medial femoral circumflex system, and Type 3: including a sensory nerve that runs along the profunda artery perforators...
October 2020: Plastic and Reconstructive Surgery. Global Open
Barbara Caci, Silvana Miceli, Fabrizio Scrima, Maurizio Cardaci
The Italian government adopted measures to prevent the spread of coronavirus 2019 (COVID-19) infection from March 9, 2020, to May 4, 2020 and imposed a phase of social distancing and self-isolation to all adult citizens. Although justified and necessary, psychologists question the impact of this process of COVID-19 isolation on the mental health of the population. Hence, this paper investigated the relationship between neuroticism, boredom, fantasy engagement, perceived control over time, and the fear of COVID-19...
2020: Frontiers in Psychology
Philip R Opondo, Anthony A Olashore, Keneilwe Molebatsi, Caleb J Othieno, James O Ayugi
Mental and substance use disorders are a leading cause of disability worldwide. Despite this, there is a paucity of mental health research in low- and middle-income countries, especially in sub-Saharan Africa. We carried out a semi-systematic scoping review to determine the extent of mental health research in Botswana. Using a predetermined search strategy, we searched the databases Web of Science, PubMed, and EBSCOhost (Academic Search Complete, CINAHL with Full Text, MEDLINE, MEDLINE with Full Text, MLA International Bibliography, Open Dissertations) for articles written in English from inception to June 2020...
October 2020: Journal of International Medical Research
Alison Pearson, Gaby Pfeifer
Interoception, the ability to detect internal bodily signals, is vital for an individual's well-being and is increasingly connected to mental health disorders. Research investigating relationships between individual differences in interoception and personality types is limited, and mixed results are reported across a variety of interoceptive tasks, measures, and conceptualisations. Guided by biological theories, this study contributed further to the understanding of the relationship between interoception and personality by utilising two interoceptive measures...
October 28, 2020: Psychological Reports
Tricia Hedinger, Kristen Eskridge, Ellie Porter, Daniel Hudock, Tim Saltuklaroglu
PURPOSE: The NEO-FFI is an extensively used instrument that has been used to identify personality differences between those who stutter and matched controls or group norms. The goal of this study was to use the NEO-FFI to implicitly capture and quantify self-stigma related to personality in persons who stutter (PWS). METHODS: Thirty PWS completed the NEO-FFI twice; once as themselves and once while mentalizing (using theory of mind) to respond as though they did not stutter and had never stuttered, thus comparing their true personality to their perceived personality if they were fluent speakers...
October 27, 2020: Logopedics, Phoniatrics, Vocology
Yui Asaoka, Moojun Won, Tomonari Morita, Emi Ishikawa, Yukiori Goto
Although studies have demonstrated that negative affects are critical attributes of drug addiction, this has remained less clear in behavioral addiction. In this preliminary study with a relatively small number of samples, we investigated negative affects in patients diagnosed with behavioral addiction, particularly paraphilia and kleptomania. Negative affects were examined using self-rating questionnaire and further evaluated by objective assessments in behavioral addicts and normal subjects. Explicit, self-referential negative affects, such as anxiety, stress, and depression, were higher in behavioral addicts than control subjects...
2020: Frontiers in Psychiatry
K C Kiran Kumar, Nirmal Ghimire, Trishant Limbu, Robin Khapung
Introduction: Levothyroxine (T4) overdose is not frequently encountered and for the clinical signs to materialize, the ingested dose, the rate of conversion of T4 to T3 and chronicity of overdose can be held accountable. Case report: A 29-year-old female, a known case of hypothyroidism and adjustment disorder, under levothyroxine, propranolol and sertraline, intentionally ingested 2.5 mg of levothyroxine but remained asymptomatic with sudden surge in T4 in initial hours of ingestion which gradually started declining along with reciprocal change in TSH...
November 2020: Annals of Medicine and Surgery
A A Kholin, N N Zavadenko, Yu E Nesterovskiy, E A Kholina, A N Zavadenko, G Sh Khondkaryan
The number of COVID-19 patients is increasing worldwide and the number of patients with neurological manifestations of a new coronavirus infection is increasing as well. Pathognomonic for COVID-19 is the presence of cephalgic syndrome, infectious-toxic encephalopathy, hypo- and anosmia and ageusia. Inducing of pathological autoimmune response contributes to the development of Miller Fischer and Guillain-Barré syndrome. Hyperergic reaction with the generation of the so-called «cytokine storm» provokes multisystem hemorrhagic complications such as Kawasaki disease and acute necrotizing hemorrhagic encephalopathy...
2020: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
C P Korolenko, A A Ovchinnikov, A N Sultanova, T Yu Sycheva, T A Shpiks, E V Tagiltseva
OBJECTIVE: To study symptoms of neurotic disorders and social masochism in chemical addicts. MATERIAL AND METHODS: Thirty outpatients of the Novosibirsk Regional Clinical Addiction Dispensary were studied. Corresponding scales and questionnaires, along with a social masochism questionnaire developed by the authors, were used. Results were compared to those of 25 healthy people. RESULTS AND CONCLUSION: A significantly higher level ( p ≤0...
2020: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
A V Vasileva, T A Karavaeva, S M Abdullaeva
OBJECTIVE: To evaluate an impact of perception of ones sexuality and autonomy on the level of insomnia in patients with neurotic/anxiety disorders. MATERIAL AND METHODS: A sample included 123 (93 women and 30 men) patients with neurotic/anxiety disorders (F40, F41, F43, F45) in the age from 25 to 50 years old, anxiety was the main syndrome in the clinical structure of the disorder. Test battery included Pittsburgh Sleep Quality index for the subjective sleep quality evaluation, Insomnia Severity index for stratification of patients into groups with different insomnia level...
2020: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
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