scholarly journals Understanding psychosis: diagnosis and clinical presentation (updates for clinicians)

2022 ◽  
Vol 13 (1) ◽  
pp. 065-071
Author(s):  
Gayane Kirakosyan ◽  
Alina Frolova
Keyword(s):  
Social Factors ◽  
Affective Disorders ◽  
Psychotic Disorders ◽  
Clinical Presentation ◽  
Chronic Alcoholism ◽  
Review Article ◽  
Educational Material ◽  
Mental Illnesses ◽  
Endogenous Psychoses ◽  
Mechanisms Of Development

Psychosis is understood as the brightest manifestations of mental illness, in which the patient's mental activity does not correspond to the surrounding reality, the reflection of the real world in consciousness is sharply distorted, which manifests itself in behavioral disorders, abnormal pathological symptoms and syndromes. Psychosis is a combination of biological (genetic, neuroanatomical, neurophysiological), psychological and social factors in various proportions. Psychoses are classified according to their origin (etiology) and reasons (pathogenetic mechanisms of development) into endogenous (including endogenous psychoses include schizophrenia, schizoaffective disorder, some psychotic forms of affective disorders), organic, somatogenic, psychogenic (reactive, situational), intoxication, withdrawal and post-withdrawal. Most often, psychoses develop in the framework of so-called endogenous disorder. The concepts of psychosis and schizophrenia are often equated, which is incorrect as psychotic disorders can occur in a number of mental illnesses: Alzheimer's disease and other types of dementia, chronic alcoholism, drug addiction, epilepsy, intellectual disabilities, etc. Other types of psychosis, such as infectious, somatic and intoxication psychoses are quite often find among patients in non-psychiatric practices. This review article is a good educational material for medical and psychological practitioners whose goal is to improve knowledge and diagnostic processes of psychosis and its related disorders.

Covid-19: A review of its clinical features, effects on gastrointestinal system and possibility of faecal transmission

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 623-627
Author(s):  
Kanishk K Adhit ◽  
Anjankar Ashish P ◽  
Siddhaarth K
Keyword(s):  
Clinical Presentation ◽  
Throat Swab ◽  
Respiratory Illness ◽  
Review Article ◽  
Gastrointestinal System ◽  
Rt Pcr ◽  
Significant Evidence ◽  
Stool Samples ◽  
High Possibility ◽  
Positive Results

In China, Wuhan in the province of China, COVID-19 a patient suffering from pneumonia was tested and to identify the cause, the throat swab of the patient was tested. On 7th January 2020 WHO declared the identification as COVID-19. And then it was proclaimed as a pandemic. It classically causes a respiratory illness presenting as a mild cough, fever and . However, several investigators have advocated the involvement of the gastrointestinal tract and liver in COVID-19 infection similar to other infections. Further research studies have shown results that are expanding the possibility of transmission because RT-PCR assessment has shown significant evidence for the presence of virus not only in samples but also in stool samples. Studies have shown that virus in stool samples have got positive results even after the illness has resolved, and two respiratory tests were done 24 hours after COVID-19 being tested negative. The review article the different findings of the clinical presentation of COVID-19. It sheds light on the effects of COVID-19 in the gastrointestinal system along with the reasons for the high possibility of transmission of COVID-19 through the route.

scholarly journals Paliperidone to Treat Psychotic Disorders

2021 ◽  
Vol 13 (3) ◽  
pp. 343-358
Author(s):  
Hormazd D. Minwalla ◽  
Peter Wrzesinski ◽  
Allison Desforges ◽  
Joshua Caskey ◽  
Brittany Wagner ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Schizoaffective Disorder ◽  
Negative Symptoms ◽  
Psychotic Disorders ◽  
Drug Information ◽  
The United States ◽  
Mental Illnesses ◽  
Positive Symptoms ◽  
Review Of The Literature ◽  
Second Generation Antipsychotics

Purpose of Review: This is a comprehensive review of the literature regarding the use of paliperidone in the treatment of schizophrenia and schizoaffective disorder. It covers the background and presentation of schizophrenia and schizoaffective disorder, as well as the mechanism of action and drug information for paliperidone. It covers the existing evidence of the use of paliperidone for the treatment of schizophrenia and schizoaffective disorder. Recent Findings: Schizophrenia and schizoaffective disorder lead to significant cognitive impairment. It is thought that dopamine dysregulation is the culprit for the positive symptoms of schizophrenia and schizoaffective disorder. Similar to other second-generation antipsychotics, paliperidone has affinity for dopamine D2 and serotonin 5-HT2A receptors. Paliperidone was granted approval in the United States in 2006 to be used in the treatment of schizophrenia and in 2009 for schizoaffective disorder. Summary: Schizophrenia and schizoaffective disorder have a large impact on cognitive impairment, positive symptoms and negative symptoms. Patients with either of these mental illnesses suffer from impairments in everyday life. Paliperidone has been shown to reduce symptoms of schizophrenia and schizoaffective disorder.

scholarly journals COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Amy E. Pinkham ◽  
Robert A. Ackerman ◽  
Colin A. Depp ◽  
Philip D. Harvey ◽  
Raeanne C. Moore
Keyword(s):  
Psychological Distress ◽  
Affective Disorders ◽  
Diagnostic Category ◽  
Mental Illnesses ◽  
Large Majority ◽  
The Past ◽  
Schizophrenia Spectrum ◽  
Phone Survey ◽  
Multiple Behaviors ◽  
And Coping

AbstractIndividuals with severe mental illnesses (SMIs) may be disproportionately vulnerable to COVID-19 infection and psychological distress. This study investigated the prevalence of engagement in COVID-19 preventative behaviors, predictors of these behaviors, and COVID-19-related psychological distress. One hundred and sixty-three individuals with SMIs (94 with schizophrenia spectrum illnesses and 69 with affective disorders) and 27 psychiatrically healthy comparison participants were recruited from ongoing studies across 3 sites, to complete a phone survey querying implementation of 8 specific COVID-19 preventative behaviors that participants engaged in at least once in the past month as well as standard assessments of depression, anxiety, perceived stress, loneliness, and coping. Data were collected between 3 April 2020 and 4 June 2020. The large majority of our SMI sample, which consisted of outpatients with relatively mild symptom severity, endorsed engaging in multiple preventative behaviors. Relatively few differences were found between groups; however, individuals with SMI were less likely to work remotely than healthy individuals and individuals with schizophrenia spectrum illness were less likely to stay home as a preventative measure, wear face masks, and work remotely than individuals with affective disorders. Differences in staying home remained after controlling for potential confounds. Although individuals with SMI reported more psychological distress related to COVID-19, this distress was largely unrelated to engagement in preventative behaviors. The large majority of individuals with SMI in this outpatient sample, regardless of broad diagnostic category, reported performing multiple behaviors intended to prevent COVID-19 infection at least once a month and reported distress associated with the pandemic. These findings suggest a good level of awareness of COVID-19 among stable outpatients with SMI. The degree to which more acutely ill persons with SMI engage in such preventative behaviors, however, remains to be examined.

Borderline conditions in dermato-oncology

2021 ◽  
pp. 49-59
Author(s):  
S. P. Seleznev ◽  
O. B. Tamrazova ◽  
V. Yu. Sergeev ◽  
V. G. Nikitaev ◽  
A. N. Pronichev
Keyword(s):  
Squamous Cell Carcinoma ◽  
Clinical Presentation ◽  
Digital Processing ◽  
Review Article ◽  
Diagnostic Systems ◽  
Stepwise Approach ◽  
Cascade Models ◽  
Precancerous State

This review article provides an overview of the etiology, pathogenesis, clinical presentation, diagnosis, and treatment methods for actinic keratosis, keratoacanthoma, and Bowen’s disease. The provoking factors are described, where the main importance is attached to insolation, previous immunosuppression and immunodeficiency and trauma. The pathogenesis of these diseases is described in the form of cascade models. Various clinical forms and their main dermatoscopic features, suitable for digital processing in automated diagnostic systems, are presented. A stepwise approach to the treatment of these nosologies is described, and a preliminary prognosis is assessed based on the duration of progression and the likelihood of transformation into squamous cell carcinoma. Given the fact that dermato-oncologists have not yet come to a consensus on the classification of the described diseases, in this article they are considered as a borderline, thereby demonstrating a fine line of transition from a precancerous state to cancer in situ.

scholarly journals Characteristics of personality in patients with endogenous psychoses with an episodicаl course in the context of post-manifest pathopersonаlogical transformations (comparative analysis)

2020 ◽  
Keyword(s):  
Differential Diagnosis ◽  
Comparative Analysis ◽  
Schizoaffective Disorder ◽  
Affective Disorders ◽  
Economic Consequences ◽  
Personality Characteristics ◽  
Simultaneous Increase ◽  
Personal Profile ◽  
Endogenous Psychoses ◽  
Episodic Course

Solution of the problems of differential diagnosis, treatment and social rehabilitation of patients with endogenous psychoses with episodic course is one of the most complex and urgent problems of clinical psychiatry, which is caused by polymorphism and variability of symptoms, decrease or loss of critical attitude toward the disease, with grave social and economic consequences. The aim of the study is to establish, on the basis of the results of the comparative analysis of the characteristics of the personal profile, the features and nosospecific differences of post-manifest pathopersonаlogical transformations in patients with schizophrenia, schizoaffective disorder and affective disorders in remission / intermissions. The study examined the personality characteristics of endogenous psychoses with an episodic course in remission / intermission conditions and established signs and nosospecific differences in post-manifest pathological transformations in patients with schizophrenia, schizoaffective disorder, and affective disorders. Existing pathopersonalogical transformations are characterized by signs of multidirectional tendencies of compensatory tension of personal resources, which is confirmed by the presence of several moderately elevated (65-75 T-points) indicators of individual scales and a simultaneous increase in indicators of both hyposthenic (2nd and 7th scales) and hypersthenic ( 4th and 9th scales) registers. In schizoaffective disorder, such scales are the 2nd (65.36±12.28 T-points), 4th (73.23±11.83 T-points), 8th (68.40±12.33 T-points) and 9th (66.05±12.02 T-points); in affective disorders, these are the 2nd, 4th and 8th scales (67.72±13.96, 67.08±9.53 and 65.90±10.08 T-points, respectively); for schizophrenia, such scales are the 2nd (72.37 ± 16.80 T-points), 4th (69.47±12.48 T-points), 7th (66.59±15.69 T-points) ) and 8th (71.73±19.95 T-points). The obtained data can be used as a component of the differential diagnosis system and personified psychotherapeutic support.

scholarly journals REGIONAL EPIDEMIOLOGY OF ALCOHOLIC DEPENDENCE SYNDROME

2019 ◽  
Vol 63 (2) ◽  
pp. 79-85
Author(s):  
Raisa Ya. Khamitova ◽  
D. V. Loskutov
Keyword(s):  
Public Health ◽  
Alcohol Consumption ◽  
Alcohol Dependence ◽  
Urban Areas ◽  
Psychotic Disorders ◽  
Chronic Alcoholism ◽  
Alcoholic Beverages ◽  
Consumption Pattern ◽  
Positive Trend ◽  
Alcohol Dependence Syndrome

Introduction. There are variable patterns of alcohol consumption in Russia that differ significantly between the regions. Awareness and knowledge of those regional differences are key to the effectiveness of measures to prevent and minimise possible damage to public health caused by alcohol consumption. The purpose. To identify regional characteristics of the dynamics of alcoholism and alcoholic psychosis and dependencies with indicators of the implementation and consumption of alcohol in Mari El in 2006-2017. Material and methods. In a retrospective analysis, they included state statistics and bulletins of the Office of Rospotrebnadzor on RME on the primary incidence and prevalence of alcohol dependence syndrome, chronic alcoholism, AP, acute alcohol poisoning, sales of alcohol through a distribution network in 2006-2017. Results. In the reported period of 2006-2017 there was a decline in determination coefficient (R2) from 0.76 to 0.96 for newly diagnosed cases of alcohol dependence in general, alcoholic psychosis and alcoholism in Mari El. There was a significant decline from 221.6 to 47.5 per 100 thousand in the range of values between regions, but higher rates remained among the rural and urban areas (p = 0.0002). The dynamics of the prevalence of alcoholic psychotic disorders and alcoholism were also on decline. Conclusion. The direction and extent of changes in the medical consequences of alcohol consumption (such as primary morbidity and prevalence of alcohol dependence syndrome, alcoholic psychosis and alcoholism, average duration of the course, number of alcoholic psychosis) in the region and indicators of the implementation and consumption of alcoholic beverages in the reported period can be evaluated as positive. It is crucial to ensure the positive trend in the alcohol consumption pattern and impact on public health in the region becomes a long-lasting one. At the same time, it is necessary to increase attention to the assistance and treatment provided to drug users patient.

scholarly journals Management of Idiopathic Thrombocytopenic Purpura in Adult: A Review Article

2012 ◽  
Vol 2 (1) ◽  
pp. 24-28
Author(s):  
Mohammad Ferdous Ur Rahaman ◽  
Farzana Rahman ◽  
Mohammad Salman ◽  
Md. Abdul Kader ◽  
Md. Abdul Kalam Azad
Keyword(s):  
Clinical Presentation ◽  
Protein A ◽  
Spontaneous Remission ◽  
Aminocaproic Acid ◽  
Review Article ◽  
Bleeding Complications ◽  
Medical College ◽  
Chronic Disorder ◽  
Insidious Onset ◽  
Epsilon Aminocaproic Acid

Idiopathic thrombocytopenic purpiira (ITP), also known as primary immune or autoimmune thmmbocytopenic purpura, is a common cause of thrombocytopenia and bleeding complications in children and adults. It mav be confused with other causes of thrombocvtopenia and is treated with agents that varv in efjicacv, toxicity, and cost. Clinical presentation very in children and adult. In children, ITP is usually an acute, self-limited disorder that resolves spontaneously: in adults, it is typically a chronic disorder with a more insidious onset. In about one third of adults with ITP, the condition is persistent and relatively resistant to most treatments .Available evidence suggests that only about 5% of adults with chronic ITP have spontaneous remission. The principal therapeutic options for ITP include glucocorticoids, intravenous immunoglobulin and splenectomy. Other treatments have been used for refractory cases; these include intravenous anti-Rh (D), azathioprine, cyclophosphamide, danazol, vinca alkaloids, ascorbic acid, colchicine, interferon-alpha, combination chemotherapy, protein A, immunoadsorption, cyclosporine, epsilon-aminocaproic acid, plasma exchange, and accessory splenectomy. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 24-28 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12348

scholarly journals Developmental mechanisms in the prodrome to psychosis

2013 ◽  
Vol 25 (4pt2) ◽  
pp. 1585-1600 ◽  
Author(s):  
Elaine F. Walker ◽  
Hanan D. Trotman ◽  
Sandra M. Goulding ◽  
Carrie W. Holtzman ◽  
Arthur T. Ryan ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Preventive Intervention ◽  
Disease Process ◽  
Research Literature ◽  
Mental Illnesses ◽  
Critical Issues ◽  
Research Findings ◽  
New Research ◽  
Postnatal Stress ◽  
Adolescent Brain Development

AbstractPsychotic disorders continue to be among the most disabling and scientifically challenging of all mental illnesses. Accumulating research findings suggest that the etiologic processes underlying the development of these disorders are more complex than had previously been assumed. At the same time, this complexity has revealed a wider range of potential options for preventive intervention, both psychosocial and biological. In part, these opportunities result from our increased understanding of the dynamic and multifaceted nature of the neurodevelopmental mechanisms involved in the disease process, as well as the evidence that many of these entail processes that are malleable. In this article, we review the burgeoning research literature on the prodrome to psychosis, based on studies of individuals who meet clinical high risk criteria. This literature has examined a range of factors, including cognitive, genetic, psychosocial, and neurobiological. We then turn to a discussion of some contemporary models of the etiology of psychosis that emphasize the prodromal period. These models encompass the origins of vulnerability in fetal development, as well as postnatal stress, the immune response, and neuromaturational processes in adolescent brain development that appear to go awry during the prodrome to psychosis. Then, informed by these neurodevelopmental models of etiology, we turn to the application of new research paradigms that will address critical issues in future investigations. It is expected that these studies will play a major role in setting the stage for clinical trials aimed at preventive intervention.

Oxygen therapy for psychosis

1937 ◽  
Vol 33 (3) ◽  
pp. 299-305
Author(s):  
D. V. Afanasiev
Keyword(s):  
Mental Illness ◽  
Nervous System ◽  
Oxygen Therapy ◽  
The Body ◽  
Mental Illnesses ◽  
Endogenous Psychoses

As you know, most mental illnesses are based on poisoning of the body, in particular the nervous system, poisonous substances or toxins that can come from the outside (exogenous diseases) or can form inside the body (autointoxication, endogenous diseases). If we could in some way stop the process of intoxication or at least reduce it, then we could achieve weakening or even cessation of exogenous or endogenous mental illness. If in exogenous intoxication psychoses the poison enters the body from the outside and may be more or less known to us (alcohol, drugs, etc.), then in endogenous psychoses (schizophrenia, epilepsy, etc.), the composition of toxins is unknown to us.

Understanding sex differences in psychosis through the exploration of hormonal contributions

2020 ◽  
pp. 93-102
Author(s):  
Leah H. Rubin
Keyword(s):  
Sex Differences ◽  
Cognitive Functioning ◽  
Steroid Hormones ◽  
Genetic Factors ◽  
Psychotic Disorders ◽  
Clinical Presentation ◽  
Sex Steroid ◽  
Sexually Dimorphic ◽  
Social Emotional ◽  
Brain Disorder

Sex appears to modulate the risk, clinical presentation, and course of schizophrenia as well as other psychotic disorders. Sex differences in neuroendocrine and/or genetic factors may contribute to these sex differences as well as in social/emotional and cognitive functioning. The goal of this chapter is to better understand these sex differences through the exploration of hormonal contributions to this brain disorder. We specifically focus on sex steroid hormones (e.g., estrogen) as well as sexually dimorphic neurohormones—oxytocin and vasopressin.

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