scholarly journals Utilization of Behavioral Medicine Services to Refine Medical Diagnostic Formulation in the Face of Uncertain Symptom Presentation

2016 ◽  
Vol 9 (2) ◽  
pp. 493-498 ◽  
Author(s):  
David A. Moore ◽  
Elisabeth S. Markman ◽  
Cori E. McMahon ◽  
Maurie Markman

In the ever expanding realm of cancer care, the psychosocial impact of disease and medical treatments has been garnering increased attention. To address these needs, the integration of behavioral medicine services into inpatient and outpatient medical settings has added a unique resource available to oncologists. Psycho-oncologists may assist providers via the provision of psychological assessment and intervention, supplying valuable consultation to members of the medical team and much needed clinical services to patients. The authors present a complex case in which the utilization of behavioral medicine consultation to clarify the diagnostic picture was critical to identifying underlying anatomic disease.

2016 ◽  
Vol 1 (4) ◽  
pp. 79-95
Author(s):  
Latifa Alsalmi ◽  
Robert Mayo

Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.


PEDIATRICS ◽  
1969 ◽  
Vol 43 (1) ◽  
pp. 19-25
Author(s):  
Douglas M. Bowden ◽  
Michael B. Rothenberg

A complex case of chronic tongue biting in a mentally retarded, adolescent hemophiliac is presented to demonstrate principles of comprehensive care. Problems arising out of (1) the psychosocial status of the child and parents, (2) psychodynamics of individual physicians, and (3) group dynamics of the medical team are described. Specific countermeasures are spelled out. Particular attention is given to the problems faced by clinic and ward pediatrics in dealing with chronic, life-threatening illness when continuous monitoring of psychogenic factors is essential to appropriate management.


Author(s):  
Jerry J. Sweet ◽  
Steven M. Tovian ◽  
Leslie M. Guidotti Breting ◽  
Yana Suchy

2014 ◽  
Vol 2014 ◽  
pp. 1-20 ◽  
Author(s):  
Takashi Seki ◽  
Shin Takayama ◽  
Masashi Watanabe ◽  
Noriko Tsuruoka ◽  
Tadao Matsunaga ◽  
...  

Background. Japan is a superaging society, with the percentage of persons aged >65 years increasing year after year. Traditional medicine (TM) for elderly has been practiced worldwide for thousands of years. Treatment methods for aspiration pneumonia, gait disorder, glaucoma, and bowel symptoms have been developed. The ideas of acupuncture, moxibustion, and herbal medicine have been implemented in modern medical settings, and medical devices using heat transfer engineering and nanotechnology have been developed. An ultrasound scanner can be used for the evaluation of effects and indications for these therapeutic measures. Objectives. To review published literature and our studies that evaluated medical treatments for the elderly on the basis of ideas of TM. Search Methods. We searched Pubmed, Scopus, and reference lists of relevant clinical trials. Authors’ Conclusions. Many studies were found. But there are insufficient data on the effects of traditional medical therapies and further research is needed. TM therapies vary widely and studies of these therapies that ascertain practical application are essential for the utilization of ideas of TM in modern medicine. Moreover, to verify practical application, a quantitative evaluation index is necessary. Nonetheless, modalities using ideas of TM may be promising treatments for some diseases in the elderly.


2018 ◽  
Vol 7 (4) ◽  
pp. 71-82
Author(s):  
Tara Renton

Orofacial pain is defined as pain arising from the regions of the face and mouth. Dental pain is the most common inflammatory pain presenting in this region; however, chronic pain conditions presenting frequently, including temporomandibular joint disorders (TMDs), primary headaches (neurovascular), neuropathic pain and idiopathic pain conditions, can often mimic toothache. Dentists are familiar with TMDs but have no training or experience in diagnosing or treating headaches that mainly present in the first trigeminal division. The anatomical complexity of the region and the potential possible diagnoses, mean that correct diagnosis is often delayed resulting in patients often undergoing inappropriate surgical and medical treatments that themselves may complicate the presentation of the pain by changing its phenotype and further complicating diagnosis and appropriate management. Due to the variable pain presentation of toothache, it can mimic many different chronic episodic orofacial pain conditions, resulting in many inappropriately prescribed courses of antibiotics and surgical interventions. Dentists are not the only profession to fall foul of the misdiagnosis but ear, nose and throat (ENT) and maxillofacial surgeons fall into the same trap.


Author(s):  
Jerry J. Sweet ◽  
Steven M. Tovian ◽  
Yana Suchy

Author(s):  
Charles F. Emery ◽  
Derek R. Anderson ◽  
Barbara L. Andersen

Beginning in the 1980s, clinical psychologists have made significant contributions to the development, testing, and dissemination of psychological interventions for individuals undergoing stressful medical treatments or coping with chronic illness. This has been important, as there are elevated rates of mood and anxiety disorders among medical patients. Addressing the needs of patients with coronary heart disease (CHD), cancer, and cardio-pulmonary disease (COPD) is discussed. As is the case generally, cognitive behavior therapy (CBT), tailored to the specific medical illness/treatment circumstances of patients, plays a central role. More broadly, psychologists have been influential in contributing empirically based strategies to improve the health of all Americans. Effective behavior change methods for smoking cessation, dietary change, and increasing physical activity and improving fitness reduce morbidity and mortality and, of course, are key to reducing health-care costs. Thus, we urge psychological assessment and intervention as one element of standard, comprehensive, health care.


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