Tourette Syndrome and Comorbid Neuropsychiatric Conditions
AbstractTourette syndrome is a neuropsychiatric condition characterized by both motor and phonic tics over a period of at least 1 year with the onset in childhood or adolescence. Apart from the tics, most of the patients with Tourette syndrome have associated neuropsychiatric comorbidities consisting of attention deficit hyperactivity disorder, obsessive compulsive disorder, rage attacks, sleep issues, depression, and migrai ne. Patients may also have physical complications directly from violent motor tics which can rarely include cervical myelopathy, arterial dissection, and stroke. The purpose of this article is to review the associated neuropsychiatric comorbidities of Tourette syndrome with emphasis on recent resear ch.
Little is known about mechanisms underlying nocturia in women with bladder pain syndrome/interstitial cystitis (BPS/IC). The thalamus plays a primary role in the organization of the sleep-wake cycle. Our hypothesis was that nocturia is associated with activation of the thalamus in women with BPS/IC as compared to controls.
To evaluate the effect of preoperative depression on length of stay and disposition following pelvic reconstructive surgery (PRS).
The purpose of this video is to demonstrate a surgical technique of performing a 3 port laparoscopic supracervical hysterectomy using Harmonic Ace+ 7 device for the dissection including transection of uterus from the cervical stump without a uterine manipulator.
Physicians taking care of pediatric burn patients should be familiar with the concept of judicious fluid resuscitation and careful use of beta ‐blocker in severe burn with concern of myocardial depression. AbstractCardiac stress is a critical determinant of outcomes associated with severe thermal injury. The cardiovascular response to a catecholamine ‐mediated surge from severe burns passes through two phases. Initial hypovolemia with myocardial depression leads to a low cardiac output, which then progresses to a hyperdynamic‐hypermetabolic phase with increased cardiac output.
Authors: Petrucci AS, LaFrance EM, Cuttler C Abstract Background: Cannabis use is widely perceived to produce an "amotivational syndrome" characterized by reduced desire to work or compete, passivity, and lower achievement orientation. The notion that cannabis diminishes motivation has been perpetuated in popular culture, despite the equivocal results of past research. Moreover, previous literature has largely failed to consider the potentially confounding influences of depression, other substance use, and personality, despite known relationships between these variables and cannabis use.Purpose: The purpo...
Publication date: Available online 27 February 2020Source: American Journal of OtolaryngologyAuthor(s): Qiang Ma, Kaiming Su, Zhihui Fu, Pengjun Wang, Haibo Shi
ConclusionsFetuses with structurally normal hearts and sustained SVT can be effectively managed with transplacental drug therapy with minimal risk of intrauterine fetal demise. Treatment requires multiple anti ‐arrhythmic agents in over half of cases. Later gestational age at fetal diagnosis and the presence of depressed fetal ventricular function, but not hydrops, predict postnatal arrhythmia burden.This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
Authors: Takeuchi T, Okumura Y, Ichikura K Abstract The use of alcohol or drug(s) prior to self-injury is a possible inducing factor for suicidal self-injuries among patients with adjustment disorder. We analyzed the cases of 175 individuals who were admitted to the intensive care unit (ICU) of Tokyo Medical and Dental University Medical Hospital for suicidal self-injury to determine whether alcohol consumption or an excessive use of prescribed psychotropic medications prior to self-injury is more common in patients with adjustment disorder. During a 7-year period (July 2006 to June 2013) following their deliberate...
Authors: Honda H, Hanayama Y, Obika M, Hasegawa K, Hamahara J, Kishida M, Hagiya H, Ogawa H, Kataoka H, Otsuka F Abstract A relationship between diabetes and depression is apparent. To clarify the clinical relevance of diabetic patients' gastroesophageal symptoms to their psychological status, we retrospectively analyzed the data from a Selfrating Depression Scale (SDS) and a Frequency Scale for Symptoms of Gastroesophageal reflux disease (FSSG) among 143 type 2 diabetic patients who visited a general medicine department. Among the 45 Japanese patients enrolled, the group with relatively high SDS scores (≥ 36) s...