Abstract：
BACKGROUND:Breath holding spells (BHS) are apparently frightening events occurring in otherwise healthy children. Generally, no medical treatment is recommended and parental reassurance is believed to be enough, however, severe BHS can be very stressful for the parents and a pharmacological agent may be desired in some of these children. OBJECTIVE:In this prospective study aim was to determine the usefulness of piracetam as prophylactic treatment for severe BHS. METHODS:Children were recruited from Neurology Clinic in Children's Hospital, Islamabad between January 2002 to December 2004. Diagnosis of BHS was based on characteristic history and normal physical examination. Piracetam was prescribed to those children who were diagnosed as severe BHS in a dose ranging from 50-100 mg/kg/day. Iron supplements were added if hemoglobin was less than 10 gm%. Patients were seen at 2-4 weeks interval and follow-up was continued until 3 months after the cessation of drug therapy. RESULTS:Fifty-two children were enrolled in the study, 34 boys and 18 girls. Ages ranged from 4 weeks to 5 years with mean age of 17 months. In 81% of children, spells disappeared completely and in 9% frequency was reduced to less than one per month and of much lesser intensity. Prophylaxis was given for 3-6 months (mean 5) duration. CONCLUSIONS:Piracetam is an effective prophylactic treatment for severe BHS.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Azam M,Bhatti N,Shahab Ndoi
10.2190/PM.38.2.fsubject
Has Abstractpub_date
2008-01-01 00:00:00pages
195-201issue
2eissn
0091-2174issn
1541-3527journal_volume
38pub_type
杂志文章abstract：INTRODUCTION:In patients with acute physical illness, symptoms used in the diagnosis of major depression such as sleep or appetite disturbance may be nonspecific for depression. This study was undertaken to examine the association of depressed mood with other depressive symptoms to determine which symptoms were most us...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/BWJA-KQP3-7VUY-D06T
更新日期：1997-01-01 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：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：OBJECTIVE:To gain more understanding about the relationship between human immunodeficiency virus type 1 (HIV-1) infection and new-onset psychosis, we compared clinical and immunological findings, psychiatric symptoms, global cognitive performance and, when available, computerized tomography (CT) findings between HIV-1-...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PLGX-N48F-RBHJ-UF8K
更新日期：2000-01-01 00:00:00
abstract：:A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automati...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/4AHB-AH4N-URK2-T22J
更新日期：1992-01-01 00:00:00
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...
journal_title：International journal of psychiatry in medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.2190/CBUA-RL4V-5UN8-MWJ3
更新日期：1996-01-01 00:00:00
abstract：:Two cases from an adolescent dialysis group are presented to illustrate the limitations of the generally used models of patient compliance and noncompliance with medical treatment. Understanding the noncompliance of these two young men required awareness of their psychological development and of the interpersonal matr...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/3vm7-gkwn-6pc2-rr76
更新日期：1981-01-01 00:00:00
abstract：:The prescription of medications for a patient with kidney failure requires special consideration since the kidneys are major organs of excretion and regulator the body's fluid environment. Physicians need to have a working knowledge of the pharmacokinetics of the medications they intend to prescribe. Protein binding o...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/T5TH-9UJY-A3MW-M1PR
更新日期：1990-01-01 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：OBJECTIVE:To propose an answer to Medicine's confusion about what Type A Behavior is. METHOD:To critically review early writings about Type A as well as current literature with a focus on five key articles which are frequently mentioned in medical and lay literature as containing relevant data undermining the Type A h...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/CDU1-6JN8-RDW8-70RN
更新日期：1993-01-01 00:00:00
abstract：OBJECTIVE:This article reviews burnout in psychiatrists. A model of burnout is presented which considers three factors: those which may predispose, precipitate, and perpetuate burnout. Lastly, recommendations are made for future research. METHODS:We conducted a selective literature review to expand on two recent syste...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/8XWB-AJF4-KPRR-LWMF
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVE:The aim of the present study was to explore the relations between religious attitudes and subjective well-being in a sample of chronic pain (CP) patients and to investigate whether these associations would differ from those obtained with healthy controls. METHOD:A total of 155 CP patients (72% women) and 166...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.39.4.d
更新日期：2009-01-01 00:00:00
abstract：:Acute confusional state (delirium) appears as one of the common neuropsychiatric manifestations of systemic lupus erythematosus (SLE). It has been suggested that neuropsychiatric SLE (NP-SLE) could promote the occurrence of drug-induced extrapyramidal symptoms (EPS). Atypical antipsychotics have been thought to be use...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/P2T8-Y12E-ANKM-8MWF
更新日期：2003-01-01 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：OBJECTIVE:No systematic information exists on what U.S. medical schools are teaching on spirituality and health or on the attitudes of faculty toward inclusion of this subject in the medical curriculum. We systematically surveyed U.S. medical school deans and assessed both attitudes about and the extent to which spirit...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.40.4.c
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:To explore the correlation between brain event-related potentials (ERPs) and psychiatric symptoms in patients with amphetamine-type stimulants (ATS) dependence. METHOD:Using Galileo Sirius 32-channels digital-evoked potential system, we measured the auditory P300 ERP in 40 ATS dependence subjects and 30 norm...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.43.2.g
更新日期：2012-01-01 00:00:00
abstract：:This article challenges the belief that depression and anxiety are the inevitable consequences of medical illness. The authors describe how cognitive behavioral therapy can help individuals accept their disabilities and modify the distorted thinking patterns which may compound their suffering. Three case studies demon...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/aabl-pqm5-jyq9-uu9e
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:Development and evaluation of a method of training primary care providers in psychiatric skills which utilizes videofeedback of real and role-played consultations in a group setting. METHOD:The development of the basic training approach and additional material for teaching specific skills is described. Evalu...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章,评审
doi：10.2190/U8MM-JX7Y-LT0T-RKPX
更新日期：1998-01-01 00:00:00
abstract：:The authors discuss the case of a mildly disfigured patient with Neurofibromatosis from the perspectives of his distorted body image, need to attribute problems in his social and work lives to unrealistic assessment of his disfigurement, changes in his self-concept following communication training, and the need for ph...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/rpjq-g087-4qly-rped
更新日期：1981-01-01 00:00:00
abstract：:Clonazepam, a unique benzodiazepine with anticonvulsant and serotonin enhancing capacity, can be used in conjunction with conventional psychopharmacologic agents to treat a variety of psychiatric conditions including schizophrenia, borderline personality disorder, and psychotic mania. Three representative case studies...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/6dk0-tpwy-mcdj-ddf9
更新日期：1985-01-01 00:00:00
abstract：INTRODUCTION:Empirical data indicate that patients seen in internal medicine outpatient settings have substantial rates of depression and other psychiatric disorders. Surprisingly, the training requirements established by the Residency Review Committee in Internal Medicine do not include a specific psychiatry training ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/BBC8-M25L-QWR0-7ARU
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:Religious and spiritual factors in intimate partner violence have received increasing attention. But are such factors related to outcomes in violent relationships? The purpose of this study was to assess the relative impact of spiritual symptoms and religious coping on attitudinal/behavioral and clinical outc...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217415589297
更新日期：2015-01-01 00:00:00
abstract：:This essay was chosen as an "honorable mention" for the 2020 Enid Balint Essay Contest. ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217420985969
更新日期：2020-12-30 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：OBJECTIVE:Anxiety and depression disorder are the most prevalent mental health problems. However, few studies are available pertaining to these problems among Chinese doctors, especially the assessment of the anxiety and depression symptoms among primary-care providers. The aim of this study was to assess the anxiety a...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.44.3.f
更新日期：2012-01-01 00:00:00
abstract：:Sixty right-handed adult subjects, divided equally into three groups (mildly depressed, normal, and "low normal") on the basis of the Zung self-Rating Depression Scale, were exposed for forty seconds each to forty-eight imagery items designed to reflect happy, sad, angry, and fearful situations. Expressed emotion (fac...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/h3ax-k9nm-q2xl-6gr3
更新日期：1982-01-01 00:00:00
abstract：OBJECTIVE:To investigate the impact of psychiatric illness, aggression, and other covarying variables on the compliance and coping potential of cancer patients treated in liaison-consultation psychiatry. METHODS:The study involves 270 cancer patients who were admitted to the oncology ward for diagnosis and treatment. ...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/73UU-R7AY-P0LE-QQ5L
更新日期：2006-01-01 00:00:00
abstract：:Fifty years of scholarship by behavioral science faculty shaped the training and practice of family physicians. One can trace behavioral science influence from the philosophical underpinnings of family medicine (whole-person, patient-centered, biopsychosocial care), to the translation of psychotherapy skills into tool...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.1177/0091217420950530
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:Depression has been found to impede several health outcomes among people living with HIV, but little research has examined whether depression treatment mitigates this influence. We assessed the impact of antidepressant therapy on measures of work, condom use, and psychosocial well-being among depressed HIV cl...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.48.3.a
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVES:To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. METHOD: DESIGN:Retrospective...
journal_title：International journal of psychiatry in medicine
pub_type： 杂志文章
doi：10.2190/PM.37.3.i
更新日期：2007-01-01 00:00:00
