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Rounds in the General Hospital

PCC
Clozapine: Its Use and Monitoring
Rounds in the General Hospital

July 30, 2024

The authors provide the latest information on clozapine use, including when your patients should receive or avoid taking it, what laboratory tests are required before and during administration, and…
Desta S. Lissanu, Chirag M. Vyas, Carol S. Lim, et al
PCC
Pharmacologic Management of TBI
Rounds in the General Hospital

July 16, 2024

Cognitive complaints, including difficulties with attention, concentration, and memory, are common in patients post-TBI; however, many medications have been studied in the treatment of cognition after TBI. Read on…
Sofia E. Matta, Christina LaCroix, Kaloyan Tanev, et al
PCC
Evaluation and Management of Treatment-Resistant Schizophrenia
Rounds in the General Hospital

July 2, 2024

If you have ever been uncertain about how to evaluate patients with a chronic psychotic illness or struggled over how best to manage treatment-resistant schizophrenia, then this case vignette…
Carol S. Lim, Abigail L. Donovan, Chirag M. Vyas, et al
PCC
Neuropsychiatric Complications of Hypervitaminosis D
Rounds in the General Hospital

June 13, 2024

A 28-year-old man presented to the emergency department with severe agitation, insomnia, weakness, constipation, and muscle jerks after nonsuicidal overdosing of vitamin D.
James K. Rustad, Adam Z. Spitz, Brandon C. Wilson, et al
PCC
Impact of Disability on Medical Care
Rounds in the General Hospital

June 6, 2024

Given that many people have disabilities, physicians should develop skills that assess the level of disability, the functional consequence of illness, and the social and physical environments of patients…
Mirza Baig, Andrew S. Chun, Ashika Bains, et al
PCC
Management of Rumination and Obsessions in Primary Care
Rounds in the General Hospital

May 30, 2024

Difficult-to-control negative repetitive thoughts can manifest as ruminations or obsessions. Appropriate early identification and intervention can positively affect the course and prevent an episode of psychiatric illness.
Sharmin Ghaznavi, Charlotte Schiewe, Theodore A. Stern

Page 14

More PCC Articles

JCP
Cardiovascular Risk by SMI Subtype
Original Research

July 5, 2023

Cardiovascular disease is the leading cause of death for people with serious mental illness. A clinical decision support tool produced a significant relative reduction in total modifiable cardiovascular risk…
Rebecca C. Rossom, A. Lauren Crain, Stephen Waring, et al
JCP
Daridorexant: Caution Is Needed About Suicidal Risk in Depressed Patients With Insomnia—Reply to Palagini et al
Letter to the Editor

July 3, 2023

Bénédicte Nobile, PharmD, PhD, and Philippe Courtet, MD, PhD, continue the discussion of potentially increased suicidal risk with daridorexant, a new hypnotic.
Bénédicte Nobile, Philippe Courtet
JCP
Aggravation of Suicide Risk With Daridorexant: Currently Not Enough Data to Show a Link
Letter to the Editor

July 3, 2023

Palagini and colleagues comment on a recent letter that suggested a role for daridorexant, a new hypnotic, in increasing suicide risk.
Laura Palagini, Pierre A. Geoffroy, Jean Arthur Micoulaud-Franchi, et al
JCP
Subcallosal Cingulate Gyrus Deep Brain Stimulation for TRD
Original Research

June 28, 2023

DBS targeting the subcallosal cingulate gyrus to treat depressive symptoms resulted in response and remission rates of 75% and 62.5%.
Carlo Alemany, Dolors Puigdemont, Ana Martín-Blanco, et al
JCP
Vitamin D3 and Omega-3 Fatty Acids for Depression Prevention
Original Research

June 26, 2023

Although several lines of evidence suggest that vitamin D3 and omega-3 fatty acids promote mood health, neither supplement showed benefits for indicated and selective prevention of late-life depression.
Chirag M. Vyas, David Mischoulon, Grace Chang, et al
JCP
GnRH Analogs in Premenstrual Dysphoric Disorder: Review and Practical Guideline
Systematic Review

June 21, 2023

This guideline provides screening tools, patient and provider handouts, and in-depth analysis of GnRH analogs and hormonal addback paradigms in PMDD.
Melissa Wagner-Schuman, Alyssa Kania, Jordan C. Barone, et al
JCP
Using Natural Language Processing in Suicide Risk Prediction
Original Research

June 19, 2023

Natural language processing, a subfield of AI that evaluates textual patterns, added predictive accuracy to the current model of using structured EHR data in suicide risk prediction.
Maxwell Levis, Joshua Levy, Kallisse R. Dent, et al
JCP
Mild Vitamin C Deficiency Is Common in Psychiatric Inpatients
Original Research

June 14, 2023

Almost two-thirds of inpatients met criteria for mild vitamin C deficiency, and folate and vitamin D levels strongly predicted vitamin C levels.
Bilal A. Bari, Ana Ivkovic, Bryce A. Wininger
JCP
Weight Loss and Lifestyle Intervention for Obstructive Sleep Apnea
Original Research

June 12, 2023

A weight loss and lifestyle intervention improved OSA-related impaired daily functioning and psychiatric symptoms.
Almudena Carneiro-Barrera, Francisco J. Amaro-Gahete, Germán Sáez-Roca, et al
JCP
Racial and Ethnic Disparities in Health Care and Clinical Trials
Academic Highlights

June 12, 2023

This Academic Highlights traces the history of scientific racism from the colonization of the US to the present, illustrating the problem of low diversity in clinical trials and outlining…
Inez Ruiz-White, Luke Kramer, Lionel Philips, et al
JCP
Lurasidone and Anxiety Symptoms in Bipolar Depression
Original Research

June 7, 2023

Lurasidone was superior to placebo at reducing anxiety in bipolar depression. Change in anxiety symptoms was predicted by sleep disturbance at baseline.
Joseph F. Goldberg, Cynthia Siu, Michael Tocco, et al
JCP
Understanding Misunderstandings About the Relative Risk and Odds Ratio
Clinical and Practical Psychopharmacology

June 5, 2023

Using simple concepts and arithmetic, Chittaranjan Andrade, MD, teaches readers how to derive and interpret relative risk and odds ratios.
Chittaranjan Andrade

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