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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 16

More PCC Articles

JCP
Low Ghrelin and Anxiety in ARFID
Original Research

May 3, 2023

Low ghrelin levels were associated with greater anxiety in ARFID, indicating a potential target in the treatment of this disorder.
Aluma Chovel Sella, Natalia Hadaway, Casey Stern, et al
JCP
Endothelial Function in Youth With Bipolar Disorder
Original Research

May 1, 2023

Bipolar disorder (BD) confers risk for accelerated atherosclerosis and early cardiovascular disease. This study found that youth with BD have anomalous reactive hyperemia index (RHI)—a measure of endothelial function—which…
Kody G. Kennedy, Sudhir Karthikeyan, Alysha A. Sultan, et al
JCP
Abbreviated Suicide Crisis Syndrome Checklist and Decision Making in the ED
Original Research

May 1, 2023

The A-SCS-C had robust clinical utility and reduced clinicians’ reliance on patient-reported suicidal ideation to assess suicide risk in the ED setting.
Ethan Karsen, Lisa J. Cohen, Betsy White, et al
JCP
rTMS for Treatment-Resistant Depression: Mismatch of Evidence and Insurance Coverage Policies
Commentary

April 26, 2023

The authors argue that insurance companies’ prior authorization process overly restricts access to rTMS, which has proven effectiveness for TRD.
Cory R. Weissman, Richard A. Bermudes, Jeffrey Voigt, et al
JCP
Efficacy of Lumateperone in Bipolar Depression With Mixed Features
Original Research

April 24, 2023

Lumateperone significantly improved depression symptoms, disease severity, and quality of life in patients with bipolar depression with mixed features.
Roger S. McIntyre, Suresh Durgam, Jason Huo, et al
JCP
Pregnancy-Specific Anxiety Tool: Development and Psychometric Evaluation
Original Research

image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ April 19, 2023

The Pregnancy-Specific Anxiety Tool contributes new dimensions to the measurement of anxiety in pregnancy. Patients scoring higher than 10 on the PSAT require further assessment.
Hamideh Bayrampour, Richard E. Hohn, Sukhpreet K. Tamana, et al
JCP
LAI Implementation After Schizophrenia Diagnosis
Original Research

April 19, 2023

Although long-acting injectable antipsychotic agents (LAIs) are effective in preventing relapse, their use in first-episode schizophrenia was low, and LAIs were rarely the first therapy for early-phase schizophrenia.
John M. Kane, Marko A. Mychaskiw, Sangtaeck Lim, et al
JCP
Depression and Cue Reactivity in Opioid Use Disorder Patients Receiving Extended-Release Naltrexone
Brief Report

April 17, 2023

Greater depression severity was linked to less reduction in cue-induced craving during naltrexone treatment for OUD.
Zhenhao Shi, Xinyi Li, Kyle M. Kampman, et al
JCP
Pandemics and Suicide Rates in Spain: From the Spanish Flu to COVID-19
Original Research

April 17, 2023

Deaths by suicide peaked in Spain during both the Spanish flu and COVID-19 pandemics; however, the stressors that led to these increases differed based on historical context.
Sergio Sanz-Gómez, Adrián Alacreu-Crespo, Ana Fructuoso, et al
JCP
Interpersonal Trauma and Depression Severity in Bipolar Disorder
Original Research

April 10, 2023

In bipolar disorder patients currently receiving treatment, a history of childhood trauma was associated with more severe depression.
Anna L. Wrobel, Samantha E. Russell, Anuradhi Jayasinghe, et al
JCP
Pharmacotherapy and Ketamine Assisted Psychotherapy for Treatment-Resistant Depression
Cross Talk: Case Conferences From MGH

April 5, 2023

A 61-year-old patient with TRD and a history of self-criticism sought ketamine assisted psychotherapy. Experts from diverse therapeutic perspectives discuss this intriguing case.
Albert Yeung, Guy Sapirstein, Laura D. Crain, et al
JCP
Enhanced Primary Care for People With Serious Mental Illness
Original Research

April 5, 2023

Primary care adapted to the needs of people with SMI improved hemoglobin A1c and systolic blood pressure when compared to usual care.
Alex K. Gertner, Lexie R. Grove, Karen E. Swietek, et al

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