management of medical and psychiatric co occurring conditions
Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice doc
... Assess Co- Occurring Conditions (Psychiatric Illness, Medical Conditions, Legal or Psychosocial Conditions) BACKGROUND Co- occurring disorders (CODs) are common with SUD and must be identified and ... provided RECOMMENDATIONS Prioritize and address other medical and psychiatric co- occurring conditions Recommend and offer cessation treatment to patients with nicotine dependence Treat concurrent psychiatric ... occurrence and severity of relapse, improved psychological and social functioning and quality of life, improved co- occurring medical and health conditions and reduction in mortality) Content of the...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... the most common type of melanoma Such lesions usually demonstrate asymmetry, border irregularity, color variegation (black, blue, brown, pink, and white), a diameter >6 mm, and a history of change ... area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient ... recognize To aid in the interpretation of skin lesions, a variety of descriptive terms have been developed to characterize cutaneous lesions (Tables 52-1, 52-2, and 52-3 as well as Fig 52-3) and...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... of epidermis without an associated loss of dermis Ulcer: Loss of epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular erosions that may be covered by crust and ... configuration of skin lesions formed from coalescing rings or incomplete rings Pruritus: A sensation that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory ... inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); it is also commonly associated with xerosis and aged skin Systemic conditions that can be associated with pruritus include...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... eruption, the types of primary and secondary lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, hair, and nails as ... 1.5–2 m (4–6 ft) so that the general character of the skin and the distribution of lesions can be evaluated Indeed, distribution of lesions often correlates highly with diagnosis (Fig 52-6) For ... Meningococcemia An example of fulminant meningococcemia with extensive angular purpuric patches (Courtesy of Stephen E Gellis, MD; with permission.) Figure...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... contact (Fig 52-10) or primary irritant dermatitis In contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure ... hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
... scalpel blade, and the removed scale is collected on a glass microscope slide then treated with to drops of a solution of 10–20% KOH KOH dissolves keratin and allows easier visualization of fungal ... the condenser is lowered This technique can be utilized to identify hyphae in dermatophyte infections, pseudohyphae and budding yeast in Candida infections (see Fig 196-1), and "spaghetti and ... well as over-thecounter) Associated systemic symptoms (e.g., malaise, fever, arthralgias) Ongoing or previous illnesses History of allergies Presence of photosensitivity Review of systems Family...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... under a Wood's lamp, and previously unsuspected areas of involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots ... brown-pink "apple jelly" appearance on diascopy Figure 52-11 Urticaria Discrete and confluent, edematous, erythematous papules and plaques are characteristic of this whealing eruption Wood's Light ... (Fig 52-4) will not Diascopy is performed by pressing a microscope slide or magnifying lens against a lesion and noting the amount of blanching that occurs Granulomas often have an opaque to...
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Báo cáo y học: " European youth care sites serve different populations of adolescents with cannabis use disorder. Baseline and referral data from the INCANT trial" docx
... diagnosis ‘abuse’ Substance use: alcohol use disorder Alcohol abuse and alcohol dependence are combined as ‘alcohol use disorders’ in Table Sites varied in prevalence of alcohol use disorders (c2 [4, ... Rotterdam, the Netherlands 8Department of Child and Adolescent Psychiatry, LUMC, Leiden, the Netherlands Authors’ contributions OP, GH and HR were substantially involved in the conception of the study ... diagnosis of cannabis use disorder as examined at the second meeting (16% of all those assessed), (2) cases (adolescent and/ or parent) refusing to sign informed consent (6% of cases assessed), and...
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Báo cáo y học: " INCANT: a transnational randomized trial of Multidimensional Family Therapy versus treatment as usual for adolescents with cannabis use disorder" pptx
... centres offering MDFT, but procedurally separated to avoid 'contamination' of therapists and participants between the experimental and control conditions TAU varies between the participating countries, ... of alcohol and drug use, which are common practice in American addiction care and a recommended part of MDFT, would not be acceptable to European adolescents In view of all this, the five countries ... http://www.biomedcentral.com/1471-244X/10/28 Background In 1999, the (junior) Ministers of Health of five Western European countries - Belgium, France, Germany, the Netherlands, and Switzerland - concluded...
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Báo cáo y học: "Open Access Development of mental health first aid guidelines for Aboriginal and Torres Strait Islander people experiencing problems with substance use: a Delphi study" doc
... burden of disease and injury in Aboriginal and Torres Strait Islander peoples Brisbane: Centre for Burden of Disease and Cost-Effectiveness, School of Population Health, The University of Queensland ... Institute of Health and Welfare: The Health and Welfare of Australia’s Aboriginal and Torres Strait Islander Peoples 2008 (Cat 4704.0) Canberra: Australian Bureau of Statistics, Australian Institute of ... autonomy of the consumer clashed with the desire of the carers to advocate for professional help on the person’s behalf [28] In contrast, a number of statements about encouraging professional...
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báo cáo khoa học: " Integrated programs for women with substance use issues and their children: a qualitative meta-synthesis of processes and outcomes" potx
... process of reducing use of drugs and alcohol or attaining abstinence from drugs and alcohol Rather, recovery is regarded as a process of "re-covering" oneself, that is, as a process of personal and ... prompting recognition of a shared process of transformation and exploration of options [74] Acquisition of knowledge and skill to implement plans, planning of a course of action, and trying out ... their sense of self and connecting to others [67] Altering one's concept of self and committing to a newly established sense of identify was seen as integral to the process of recovery Women...
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Báo cáo y học: "Excessive substance use in bipolar disorder is associated with impaired functioning rather than clinical characteristics, a descriptive study" pdf
... WJ, et al: Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions J Clin Psychiatry ... among the levels of substance use (number of units of alcohol or number of incidences of use of non-alcoholic substances) the last months between patients fulfilling SUD criteria and patients with ... Increased suicidality is seen in a number of psychiatric disorders and has been found associated with SUD alone [88], and with the combination of SUD and a variety of psychiatric disorders [89-91] Thus...
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báo cáo khoa học: "Co-existence of acute myeloid leukemia with multilineage dysplasia and Epstein-Barr virus-associated T-cell lymphoproliferative disorder in a patient with rheumatoid arthritis: a case report" docx
... factor of LPD [25] It remains unclear whether the co- existence of the three conditions are coincidental or there could be an intrinsic mechanism Conclusion The current case with AML-MLD and EBV-associated ... remission, and additional chemotherapy consisting of two courses of CAG (Ara-C 30 mg/day continuous d.i.v for 14 days, aclarubicin 10 mg/day on days 1–3, and G-CSF 250 mcg d.i.v on days 1–14) led to complete ... activation molecule Consent Written informed consent was obtained from the patient's wife for publication of this case report and any accompanying images A copy of the written consent is available...
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báo cáo khoa học: "Transient psychosis due to painless thyroiditis in a patient with anxiety disorder: a case report" pdf
... Kobayashi et al Journal of Medical Case Reports 2011, 5:534 http://www.jmedicalcasereports.com/content/5/1/534 mg) She continued to complain of various anxieties after a slight improvement ... informed consent was obtained from the patient for publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this ... strategy All authors read and approved the final manuscript Kobayashi et al Journal of Medical Case Reports 2011, 5:534 http://www.jmedicalcasereports.com/content/5/1/534 Page of Competing interests...
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Báo cáo y học: "Diagnostic use of infrared thermography in a patient with chronic pain following electrocution: a case report" doc
... is compared with an identical contralateral site and lower leg in the regions of discomfort The maximally different temperatures are recorded in Table Figure demonstrates the relative cooling of ... Journal of Medical Case Reports 2009, 3:8992 http://jmedicalcasereports.com/jmedicalcasereports/article/view/8992 Figure Relative cooling of the left foot on the affected side The date of this ... Persistent relative cooling of the dorsum of the left hand on May 2006 The use of thermography for similar apparent neuropathic pain has been identified for orofacial pain [7] and for Page of (page number...
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Báo cáo y học: " Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile" ppt
... sense of coherence [12] The theory of sense of coherence was introduced by American-Israeli medical sociologist Aaron Antonovsky, who developed the Sense of Coherence Scale (SOC) Sense of coherence ... were consecutively admitted for treatment between August 2004 and November 2009 At intake to treatment, patients were informed of the conditions of treatment and, after both verbal and written consent, ... intake, and severity of self-reported general psychiatric distress (Global Severity Index) at baseline on the Symptom Checklist 90 (SCL-90), and extent of subjective sense of coherence (total raw score)...
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Báo cáo y học: "A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres" pdf
... Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions ... Institute of Clinical Medicine, University of Oslo TR is a psychiatrist, professor at the Institute of Clinical Medicine, University of Oslo, and Head of the Department of Research and Development ... Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions [References]...
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Báo cáo y học: " All-cause mortality among people with serious mental illness (SMI), substance use disorders, and depressive disorders in southeast London: a cohort study" ppsx
... a broad profile of community care models (both acute care and rehabilitation), psychiatric liaison services to general hospitals, and forensic mental health services Page of The protocol for this ... patient records, hence patients were “at risk” of death during this period of time Date of birth and gender were routinely recorded and verified on the SLAM electronic patient electric records in ... London and Maudsley NHS Foundation Trust and Institute of Psychiatry, King’s College London WL is funded by the UK Medical Research Council Author details King’s College London, Section of Epidemiology,...
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báo cáo khoa học: " Substance use during pregnancy: time for policy to catch up with research" pps
... with CPS and the court to comply with ASFA and provide a program of coordinated care for drug-exposed infants and their families VIP conducts a comprehensive and standardized assessment of the ... second half of pregnancy The primary metabolite of nicotine is cotinine and can be measured in urine and meconium Cotinine is also readily passed from mother to infant, with fetal cotinine concentrations ... Model of the Effects of Maternal Alcohol, Tobacco and Illegal Drug Use (MATID) During Pregnancy on Child Figure Outcome Developmental Model of the Effects of Maternal Alcohol, Tobacco and Illegal...
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