SCHIZOPHRENIA

Schizophrenia is a psychiatric disorder and self harm is considered to be a rarepresentation of it. Lack of early intervention is mostly suggestive of leading to it. We herebypresent a case of a elderly male with chronic schizophrenia who came to our ER with thecomplains of self assault one day prior to admission, odd behavior, somatic delusions since 8days, self laughter and self talking since the last 25 years. Being a previously diagnosed caseof schizophrenia, he was non complaint with his previous medications, which worsened hiscondition and led to the patient stabbing himself multiple times after being convinced that therewere snakes in his abdomen. The patient was treated with antipsychotics and benzodiazepines,his family was given psycho education and after being stable for a few weeks, he was laterdischarged and asked to follow up regularly in our OPD.

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Telepractice Training for Early Intervention with Children who are Deaf/Hard-of-Hearing

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp1.sig9.60 ◽

2016 ◽

Vol 1 (9) ◽

pp. 60-67

Author(s):

Kristina M. Blaiser ◽

Diane Behl

Keyword(s):

Early Intervention ◽

Hard Of Hearing ◽

Communication Disorders ◽

Staff Support ◽

Early Intervention Services ◽

Part C ◽

Training Courses ◽

Part C Early Intervention ◽

Training Opportunities

Telepractice is an increasingly popular service delivery model for serving individuals with communication disorders, particularly infants and toddlers who are Deaf/Hard-of-Hearing (DHH) served under Part C Early Intervention programs (Behl, Houston, & Stredler-Brown, 2012). Recent studies have demonstrated that telepractice is effective for providing children who are DHH and their families with access to high quality early intervention services (Behl et al., 2016; Blaiser, Behl, Callow-Heusser, & White, 2013). While telepractice has grown in popularity, there continues to be a lack of formalized training opportunities to help providers become more familiar with telepractice (Behl & Kahn, 2015). This paper outlines online training courses for providers, families, and administrators of programs for children who are DHH. Recommendations for follow up training and staff support are included.

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Effect of early intervention on infantile postural asymmetry: a prospective 2 years follow-up

Neuropediatrics ◽

10.1055/s-2006-973981 ◽

2006 ◽

Vol 37 (06) ◽

Author(s):

H Philippi ◽

K Bauer ◽

T Jung ◽

H Bergmann ◽

S Müller ◽

...

Keyword(s):

Early Intervention ◽

Postural Asymmetry

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The regional project for early intervention in psychosis implemented in the Reggio Emilia Department of Mental Health: preliminary data from a 2-year follow-up study

10.26226/morressier.59d4913ad462b8029238a258 ◽

2017 ◽

Author(s):

Lorenzo Pelizza

Keyword(s):

Mental Health ◽

Early Intervention ◽

Preliminary Data ◽

Reggio Emilia ◽

Follow Up Study ◽

Regional Project ◽

Early Intervention In Psychosis

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Effect of early intervention for anxiety on sleep outcomes in adolescents: a randomized trial

European Child & Adolescent Psychiatry ◽

10.1007/s00787-021-01795-6 ◽

2021 ◽

Author(s):

Bente Storm Mowatt Haugland ◽

Mari Hysing ◽

Asle Hoffart ◽

Åshild Tellefsen Haaland ◽

Jon Fauskanger Bjaastad ◽

...

Keyword(s):

Early Intervention ◽

Standard Length ◽

Sleep Problems ◽

Sleep Onset ◽

Cognitive Behavioral ◽

Control Group ◽

Sleep Onset Latency ◽

Post Intervention ◽

Clinical Trial Registration

AbstractThe potential effect of early intervention for anxiety on sleep outcomes was examined in a sample of adolescents with anxiety (N = 313, mean 14.0 years, SD = 0.84, 84% girls, 95.7% Norwegians). Participants were randomized to one of three conditions: a brief or a standard-length cognitive-behavioral group-intervention (GCBT), or a waitlist control-group (WL). Interventions were delivered at schools, during school hours. Adolescents with elevated anxiety were recruited by school health services. Questionnaires on self-reported anxiety symptoms, depressive symptoms, and sleep characteristics were administered at pre- and post-intervention, post-waitlist, and at 1-year follow-up. Adolescents reported reduced insomnia (odds ratio (OR) = 0.42, p < 0.001) and shorter sleep onset latency (d = 0.27, p < 0.001) from pre- to post-intervention. For insomnia, this effect was maintained at 1-year follow-up (OR = 0.54, p = 0.020). However, no effect of GCBT on sleep outcomes was found when comparing GCBT and WL. Also, no difference was found in sleep outcomes between brief and standard-length interventions. Adolescents defined as responders (i.e., having improved much or very much on anxiety after GCBT), did not differ from non-responders regarding sleep outcomes. Thus, anxiety-focused CBT, delivered in groups, showed no effect on sleep outcomes. Strategies specifically targeting sleep problems in adolescents should be included in GCBT when delivered as early intervention for adolescents with elevated anxiety.Trial registry Clinical trial registration: School Based Low-intensity Cognitive Behavioral Intervention for Anxious Youth (LIST); http://clinicalrials.gov/; NCT02279251, Date: 11.31. 2014

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An elderly male with lower urinary tract symptoms during COVID-19 pandemic: Extraperitoneal perforation of bladder diverticulum

Urologia Journal ◽

10.1177/03915603211022945 ◽

2021 ◽

pp. 039156032110229

Author(s):

Amit Sharma ◽

Deepak Biswal ◽

Satyadeo Sharma ◽

Siddhant Roy

Keyword(s):

Bladder Outlet Obstruction ◽

Outlet Obstruction ◽

Transurethral Resection Of Prostate ◽

Bladder Diverticulum ◽

Elderly Male ◽

Bladder Drainage ◽

Intravenous Antibiotics ◽

Urinary Tract Symptoms ◽

Lower Urinary

Case: We present a case of spontaneous extra-peritoneal rupture of an acquired diverticulum an elderly male with symptoms of bladder outlet obstruction who presented in emergency with acute abdomen. Outcome: The acute phase was managed conservatively with bladder drainage and intravenous antibiotics. He recently underwent Transurethral Resection of Prostate. He is asymptomatic on follow-up. Conclusions: Acquired bladder diverticulum are rare in adults and are mostly seen in patients with high pressure bladder due to bladder outlet obstruction. Atraumatic extraperitoneal ruptures of diverticulum are uncommonly reported.

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Evolution of spirituality and religiousness in chronic schizophrenia or schizo-affective disorders: a 3-years follow-up study

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-009-0151-0 ◽

2009 ◽

Vol 45 (11) ◽

pp. 1095-1103 ◽

Cited By ~ 14

Author(s):

Sylvia Mohr ◽

Laurence Borras ◽

Isabelle Rieben ◽

Carine Betrisey ◽

Christiane Gillieron ◽

...

Keyword(s):

Affective Disorders ◽

Chronic Schizophrenia ◽

Follow Up Study

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Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients

The British Journal of Psychiatry ◽

10.1192/bjp.185.1.70 ◽

2004 ◽

Vol 185 (1) ◽

pp. 70-75 ◽

Cited By ~ 264

Author(s):

Daniel Louis Zahl ◽

Keith Hawton

Keyword(s):

Relative Risk ◽

Suicide Risk ◽

Single Episode ◽

Deliberate Self Harm ◽

Young Females ◽

Follow Up Study ◽

Increased Risk ◽

Self Harm

BackgroundRepetition of deliberate self-harm (DSH) is a risk factor for suicide. Little information is available on the risk for specific groups of people who deliberately harm themselves repeatedly.AimsTo investigate the long-term risk of suicide associated with repetition of DSH by gender, age and frequency of repetition.MethodA mortality follow-up study to the year 2000 was conducted on 11583 people who presented to the general hospital in Oxford between 1978 and 1997. Repetition of DSH was determined from reported episodes prior to the index episode and episodes presenting to the same hospital during the follow-up period. Deaths were identified through national registers.ResultsThirty-nine percent of patients repeated the DSH. They were at greater relative risk of suicide than the single-episode DSH group (2.24; 95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH group compared with the single-episode DSH group was greater in females (3.5; 95% C11.3–2.4) than males (1.8; 95% C1 2.3–5.3) and was inversely related to age (up to 54 years). Suicide risk increased further with multiple repeat episodes of DSH in females.ConclusionsRepetition of DSH is associated with an increased risk of suicide in males and females. Repetition may be a better indicator of risk in females, especially young females.

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Significance of Positive and Negative Syndromes in Chronic Schizophrenia

The British Journal of Psychiatry ◽

10.1192/bjp.149.4.439 ◽

1986 ◽

Vol 149 (4) ◽

pp. 439-448 ◽

Cited By ~ 138

Author(s):

S. R. Kay ◽

L. A. Opler ◽

A. Fiszbein

Keyword(s):

Hospital Admissions ◽

Chronic Schizophrenia ◽

Strongly Correlated ◽

General Psychopathology ◽

Developmental Impairment ◽

Schizophrenic Patients ◽

History Of ◽

Patient Stay ◽

Negative Syndrome

Positive and negative syndromes were studied in relation to demographic, historical, genealogical, clinical, psychometric, extrapyramidal, and follow-up measures of 101 chronic schizophrenic patients. The criterion scales proved to be reliable, normally distributed, and strongly correlated with general psychopathology, but otherwise inversely related to one another. Multiple regression analysis identified sets of 4–6 independent variables that explained 74%-81 % of the scales' variance. A positive syndrome was associated chiefly with productive features, family history of sociopathy, more previous hospital admissions, and longer in-patient stay during the 30-month follow-up period. A negative syndrome correlated with deficits in cognitive, affective, social, and motor spheres, higher incidence of major psychiatric illness but less affective disorder among relatives, lower education, and greater cognitive developmental impairment. The results underscore the importance of genetic and biodevelopmental variables for understanding schizophrenic syndromes.

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Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms

Japanese Clinical Medicine ◽

10.1177/1179066017693597 ◽

2017 ◽

Vol 8 ◽

pp. 117906601769359

Author(s):

Michiaki Abe ◽

Temma Soga ◽

Nobuya Obana ◽

Kazumasa Seiji ◽

Masao Tabata ◽

...

Keyword(s):

Computed Tomography ◽

Elderly Patients ◽

Psychiatric Disorder ◽

Male Patient ◽

Psychiatric Symptoms ◽

Blood Ammonia ◽

Elderly Male ◽

Blood Tests ◽

Portal Systemic Shunt

We report an elderly male patient with hyperammonemia induced by intrahepatic portal-systemic shunt without cirrhosis (IPSSwoC). The occasional emergence of his erratic behaviors was misdiagnosed as a psychiatric disorder. Regardless of his uneven symptoms, IPSSwoC was suspected due to his hyperammonemia. The contrast computed tomography of the abdomen revealed a congenital type of IPSSwoC. As blood ammonia levels are inconstant, repeated blood tests are recommended when this disease is suspected in elderly patients with psychiatric symptoms.

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