Abstract:
OBJECTIVE:To compare the incidence of delirium in postoperative cardiac surgical patients treated with either cimetidine or ranitidine. METHOD:Cardiac surgery patients were randomized to receive either cimetidine or ranitidine postoperatively. Each patient underwent three Mini-Mental Status Examinations (MMSE) and the medical record was reviewed for pertinent past medical history, laboratory data, and evidence of delirium on three occasions: one day preoperatively (before H-2 blocker was given), in the early postoperative period (while receiving the H-2 blocker); usually two days postoperatively on the day of hospital discharge (several days after the H2 blocker had been discontinued). RESULTS:Overall, both groups in the early postoperative period showed a significant decrease in the MMSE score (27.11 +/- 4.44 to 25.38 +/-2.87, mean +/- SD; t = 5.16, p < .0005), which resolved by the time of hospital discharge. There was no significant difference between cimetidine and ranitidine. Both age and preoperative MMSE score were strongly associated with the development of delirium. CONCLUSIONS:We found no significant difference between cimetidine's versus ranitidine's effect upon cognitive functioning in the postoperative cardiac surgical patient. This was true even when controlling for age and length of stay.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Kim KY,McCartney JR,Kaye W,Boland RJ,Niaura Rdoi
10.2190/CBUA-RL4V-5UN8-MWJ3subject
Has Abstractpub_date
1996-01-01 00:00:00pages
295-307issue
3eissn
0091-2174issn
1541-3527journal_volume
26pub_type
临床试验,杂志文章,随机对照试验abstract::The existence of the putative "serotonin irritation syndrome" (SIS) was tested in a human population. Volunteers were exposed to a highly cationized environment for two hours. Symptoms of anxiety and excitement significantly increased. During the time of exposure serum serotonin levels also increased significantly. Th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/gm1h-2gbg-jk6r-vy2a
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:The study was to examine the changes in attitudes towards psychiatry and mental illness among Chinese medical students during their psychiatry clerkship training. METHODS:The Attitudes Towards Mental Illness (AMI) and the Attitudes Towards Psychiatry-30 (ATP-30) questionnaires were administered to 325 fourth...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.3.e
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:This article examines the cognitive and psychiatric features of multiple sclerosis. MS can manifest as a neuropsychiatric disturbance even in the absence of physical disabilities. METHOD:Two MS patients with predominant behavioral symptoms are described, and the literature is reviewed. RESULTS:The first pat...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/NK8F-MTUW-QHH1-0531
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:To seek clues to the enhancement of primary care management by (i) Determining how often and in whom primary care clinicians in the United States, Puerto Rico, and Canada identify pediatric mood or anxiety syndromes; (ii) Determining which clinical and demographic features predict higher rates of identificati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/UT6D-RDFG-LBT7-G39N
更新日期:2003-01-01 00:00:00
abstract::The prevalence of alcohol related admissions to hospitals in Manitoba was examined in an investigation limited to the general medicine units of four representative hospitals within the province. All admissions during one-month periods were closely examined. In order to determine if an admission was related to alcohol,...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/b8tq-5eg9-fht8-uvxl
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:Although generalized social anxiety disorder (gSAD) is more prevalent in women, the role of female reproductive hormones in gSAD has never been investigated. Therefore, our aim was to make a first inventory of the influence of female reproductive hormones on gSAD symptoms. METHOD:Female patients with gSAD wh...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.3.e
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to review and discuss the efficacy of the Cognitive-Behavioral Therapy (CBT), in the prevention of postnatal depression (PD) in pregnant women at risk. METHOD:PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from February 1991 to February 2011. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.43.3.b
更新日期:2012-01-01 00:00:00
abstract::We present the case of a thirty-eight-year-old woman who developed a febrile illness which was associated with a rise of blood lithium and amitriptyline, and subsequently suffered permanent neurological impairment, implicating CNS dysfunction at several levels. Medical, laboratory, radiological and neuropsychological ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/t774-au51-l92t-2ra2
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:This paper discusses a new technique for diagnosing pseudoseizures. The technique consists of an intensive psychiatric interview designed to provoke a pseudoseizure during EEG and video monitoring. We wished to determine the overall efficacy of the technique and learn how our patients felt about having underg...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/NEHN-8QJN-1BGY-24NB
更新日期:1992-01-01 00:00:00
abstract::A study of patterns of communications in families with a terminal cancer patient being treated at three urban institutions revealed that may first-order relatives (spouses, children, siblings) of patients did not have a communication link to the physician, especially if direct communication was not established at the ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/7vny-wfnu-5510-v8bc
更新日期:1977-01-01 00:00:00
abstract::Religion and medicine have a long, intertwined, tumultuous history, going back thousands of years. Only within the past 200-300 years (less than 5 percent of recorded history) have these twin healing traditions been clearly separate. This series on religion and medicine begins with a historical review, proceeding from...
journal_title:International journal of psychiatry in medicine
pub_type: 历史文章,杂志文章
doi:10.2190/2RWB-3AE1-M1E5-TVHK
更新日期:2000-01-01 00:00:00
abstract::Emphasis on the process and content of the emotional aspects of rehabilitation are presented as a process interwoven with a patient's physical rehabilitation. The impact of trauma and subsequent rehabilitation involves for patients the resolution of these stages: shock, denial, depressive reaction, reaction against in...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/51mf-44b7-mpu5-mka1
更新日期:1981-01-01 00:00:00
abstract::George Engel's biopsychosocial vision was simultaneously scientific and humanistic. He passionately presented an approach to clinical care to correct the progressive distancing of clinical care and research from the lived experience of the patient. Yet, while science provides ever greater evidence for the linkages bet...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.4.b
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting. METHOD:The analysis included measures of HbA1c levels before, during, and after initial antidepressant use among 568 patients with diabetes enrolled in the Harv...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KKGW-Y42P-BAAB-JDJ0
更新日期:2004-01-01 00:00:00
abstract::Electroconvulsive therapy (ECT) is well recognized as an effective treatment for depression. However, it is not often used among the elderly due to increased co-morbid medical problems and fear of complications. We present here the case of an 88-year-old man with a history of depression and co-morbid medical illness. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KPUK-NGKJ-R2PV-NAV6
更新日期:2002-01-01 00:00:00
abstract::Patients and family members often turn to prayer in response to serious, life-threatening illness. Prayer for a miraculous cure is often the request. While prayer can keep hope alive, it may also promote unrealistic expectations that fuel demands for life-preserving technology in medically futile situations. Furthermo...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.4.d
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:We hypothesized that a systematic determination of symptom severity would predict psychiatric admission for non-suicidal patients referred for a psychiatric evaluation in an urban emergency department (ED) setting. METHOD:In a pilot study involving consecutive patients referred for a psychiatric evaluation i...
journal_title:International journal of psychiatry in medicine
pub_type: 临床试验,杂志文章
doi:10.2190/1YVH-LBFF-QJRD-R2ET
更新日期:1998-01-01 00:00:00
abstract::The author describes the delivery of medical, psychiatric and social work services to residents of a facility for the aged. Although the Home had already benefited from the introduction of sound medical standards and the influence of an acute medical hospital, a satisfactory staff organization needed to be developed t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/k1ed-ep92-n418-n8a8
更新日期:1978-01-01 00:00:00
abstract::The Existential Plight in cancer is a poorly recognized but significant period. It starts with the definite diagnosis and continues for two to three months into the illness, approximately 100 days. The chief signs are the predominance of life/death concerns, e-en over worries about health or physical symptoms. One hun...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/uq2g-ugv1-3ppc-6387
更新日期:1976-01-01 00:00:00
abstract::This case report describes a 20-year-old man with a severe presentation of anorexia nervosa. His case is unique in that he presented at 49% of his ideal body weight and had a body mass index (BMI) of 11.59. In addition, he had cognitive slowing on exam and had cortical atrophy on a head CT. Other medical complications...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.48.2.b
更新日期:2014-01-01 00:00:00
abstract::Depressive illness was a common clinical syndrome found in general practice in Hong Kong. The phenomenon of somatization among Chinese depressives in general practice was investigated. Patients clinically identified as depressed were compared with organic patients in terms of their presenting complaints and responses ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/bvy5-yccr-ct1v-20fr
更新日期:1980-01-01 00:00:00
abstract::The dexamethasone suppression test (DST) appears to be a sensitive and specific biological marker for endogenous depression that can have important diagnostic and treatment implications. The authors present three case studies of patients treated on a combined medicine-psychiatric inpatient unit, and who presented with...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/mq8m-7544-kg2j-6k8b
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:Psychiatric conditions are known to have a detrimental impact on functioning and may therefore influence patterns of disability associated with MS. Population-based studies are needed to evaluate such interactions. The objective of this study was to describe the pattern of interaction of MS and mental disorde...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.1.d
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To compare the risk of sexual arousal difficulties between two groups of depressed female patients in remission who were treated with either escitalopram or fluoxetine. Associated factors were also examined. METHODS:This was a cross-sectional study involving 112 female patients attending the psychiatric clin...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.4.h
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Depression is a common mental disorder that leads to undesirable consequences. The study of the role of depression in disability pension can provide valuable insights. This study was conducted with the goal of systematic review and meta-analysis of the relationship between depression and disabi...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419837412
更新日期:2019-05-06 00:00:00
abstract:OBJECTIVE:To identify descriptors of Antipsychotic (AP) prescription, focusing on second generation antipsychotics (SGAs), polypharmacy, and long-acting injections (LAIs). METHODS:Outpatients of the Bologna-Community-Mental-Health-Centres with at least one AP prescription were selected. Patients' characteristics, serv...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.49.1.d
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To examine the association between ethnicity, depression, quality of life, and diabetic control in Malaysian adolescents and young adults with type I diabetes mellitus. METHODS:Fifty-two outpatients with type I diabetes (mean age 15.5 years) who attended a Diabetes Clinic were included. The level of HbA1c w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/EQ71-RMWV-6CEJ-1DGM
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists' attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. METHOD:A total of 398 psychiatrists were...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217418791436
更新日期:2019-01-01 00:00:00
abstract::Twenty-one individuals underwent extensive psychological evaluation before, and four months after, coronary bypass surgery, that examined: defensive mechanisms; fantasies and distortions; subjective meaning of the procedure; and transference and projections. Patients showed a significant improvement in their physical ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/u8y8-gcng-m3xl-hvvy
更新日期:1980-01-01 00:00:00
abstract::Even when non-epileptic seizures are correctly diagnosed, appropriate treatment recommendations may not be fully or correctly implemented. We present a case of a 17-year-old girl with frequent non-epileptic seizures who presented for frequent trips to the emergency room (ER) and was admitted to an inpatient Child and ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.42.3.g
更新日期:2011-01-01 00:00:00