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Current Research in Psychiatry
ISSN: 2768-3702
Volume 1, Issue 3, p31-47
Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.
The tip of the iceberg: Commentary on mental illness and substance use as distal and proximal variables
Given the widespread taboo surrounding suicide, risk of suicide may become even more difficult to face for clinicians, when linked with substance use, another stigmatized behavior. In this commentary, we shall argue that even though suicides are to be taken seriously, we must also be aware of the rarity of completed suicide, and be careful not to exaggerate risks associated with substance use. The primary risk of suicide appears to occur when a range of distal and proximal factors converge.
Curr Res Psychiatry, 2021, Volume 1, Issue 3, p31-33 | DOI: 10.46439/Psychiatry.1.011
Technology-based mental health treatment and the impact on the therapeutic alliance update and commentary: How COVID-19 changed how we think about telemental health
Our previous article, Technology-Based Mental Health Treatment and the Impact on the Therapeutic Alliance, explored factors that influence the therapeutic alliance when treatment was delivered via telemental health, such as video conferencing or telephone. During the COVID-19 pandemic, the use of telemental health became a necessity rather than simply a preference. In this commentary, we explore the use of telemental health in direct response to COVID-19 social distancing orders and offer updated suggestions around best practices for building and maintaining alliance in technology-based mental health treatments.
Curr Res Psychiatry, 2021, Volume 1, Issue 3, p34-36 | DOI: 10.46439/Psychiatry.1.012
The tragic rollercoaster of Italian nursing homes during the COVID-19 pandemic
Nursing homes, neglected for too long by government administrations, have paid a very high tribute to the lack of protective measures and social distancing that COVID-19 has imposed. To date, it has been calculated that almost a fifth of all residents in nursing home in northern Italy have died due to COVID-19, with a mortality of Lombardy nursing homes varying between 10% and 50% of all residents. In some cases, 3-4 guests of a single home died in a single day.
Curr Res Psychiatry, 2021, Volume 1, Issue 3, p37-39 | DOI: 10.46439/Psychiatry.1.013
Active involvement of patient representatives in research: roles, tasks, and benefits in a pilot intervention study
Patient involvement in research and development has been increasingly applied and studied during the last decades. There is rising consensus that collaboration with patients or their representatives (e.g., parents, family members, partners) in co-developing new treatment interventions and participating in treatment studies is beneficial for patients, researchers, and society at large. In studying the feasibility of Tackle your Tics, an innovative treatment program for children with tic disorders, patient representatives played a unique role throughout the research process, performing multiple important tasks from start (co-designing the study, obtaining a grant, developing and leading workshops and parent meetings) to finish (interpretation of the data, providing feedback to the article, giving congress oral presentations).
Curr Res Psychiatry, 2021, Volume 1, Issue 3, p40-43 | DOI: 10.46439/Psychiatry.1.014
Post-trauma brain: A commentary on functional brain alterations after trauma and implications to post-traumatic stress disorder
Posttraumatic stress disorder (PTSD) is a highly debilitating psychiatric condition that develops in a subset of individuals following a traumatic event, such as a threat of death, serious injury or sexual assault. Over the past two decades, substantial body of research has focused on key neural regions and circuits that play a role in pathogenesis and maintenance of PTSD symptoms. More specifically, hyper-activation of amygdala, insula, and dorsal anterior cingulate cortex, as well as hypo-activation in ventral medial prefrontal cortex and altered function of hippocampus have been repeatedly reported.
Curr Res Psychiatry, 2021, Volume 1, Issue 3, p44-47 | DOI: 10.46439/Psychiatry.1.015
Neodymium:YAG laser posterior capsulotomy in the lateral decubitus position
Here we report a novel method of performing a Neodyminium:YAG (Nd:YAG) laser posterior capsulotomy in an adult patient, unable to tolerate the procedure awake with topical anaesthesia in the outpatient clinic setting. The procedure was performed by altering the chin rest and arms of the Nd:YAG laser machine so that the procedure could be undertaken in an anaesthetized patient in the operating theatre, in the lateral decubitus position, with the laser machine upright in its normal position.
Presbyopia correcting IOLs and the ocular surface disease… The good, the bad and the ugly
The last two decades were especially fruitful for the refractive surgeons and for the industry who have been showing tremendous development in both understanding and meeting patients’ desire for spectacle independence. Ever since the first trials from Dr. Kenneth Hoffer with his early 1980’s effort in producing a multifocal IOL to the latest achievements from different companies in putting trifocals and EDOF optics to the market.
How many mutations does it take to make a uveal melanoma?
Uveal melanoma (UM) is a rare cancer that affects the choroid and, less frequently, the ciliary body or the iris (for recent reviews see [1-3]). Despite a profound knowledge of the oncogenic mechanisms behind UM tumorigenesis and despite an accurate cytogenetic and molecular prognosis, only limited advances have been made in UM therapy.
MSICS is a Simple Solution for a Big Problem
Manual small-incision cataract surgery (MSICS) is a sutureless cataract surgery that has multiple advantages over traditional phacoemulsification and extracapsular cataract extraction (ECCE) procedures. SICS became the procedure of choice for international ophthalmology, where the microscopes and operating room can be more challenging, in addition to the more advanced pathology often seen.
Surgical smoke and SARS-CoV-2 transmission
The protection of health care workers from nosocomial infection is a paramount consideration in the current pandemic involving severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Not only is prevention of viral transmission the most effective means to lessen the public health impact of coronavirus disease 2019 (COVID-19), but also both quarantine and illness – that disproportionately affect health care workers – have devastating effects on the ability of hospitals to adequately care for increased patient loads.
Association between resilience promotion factors during childhood and risk of drug use disorder during adulthood
Few studies have been conducted on the relationship between “outside-residing” resilience characteristics and the risk of developing drug use disorder later in life. These characteristics include responsive and caring parenting, household routines involving regular family meals and bedtime routines, social support from peers, participation in organized activities, and religious service attendance.
New Frontiers in the Rehabilitation of Neurological Damage
Epidemiologic data show a high incidence of central nervous system (CNS) disease, which therefore is a prominent healthcare issue. Adults and the elderly are most commonly affected, with heavy repercussions on society and caregivers. The outcome of CNS disease, whether the etiology is vascular, degenerative or traumatic, is often significant disability or death. Motor, language and cognitive deficits are most prevalent, but vision is also frequently affected, in the form of visual field defects or oculomotor and binocular disorders. In the present paper, we discuss peripheral and central visual field defects.
Fibromyalgia, perfectionism, and interpersonal style. Further evidence for a person-centered approach
Fibromyalgia (FM) is usually considered a ‘medically unexplained’ chronic pain disorder with no known causal treatment. The disorder is also referred to as a ‘functional somatic syndrome’ in which psychological factors are believed to play an important role. According to recent criteria of the American College of Rheumatology (ACR), the main symptom is unexplained widespread pain for at least 3 months; associated symptoms include fatigue, impaired concentration, non-restorative sleep, stimulus intolerance, post-exertional malaise, and various complaints related to neuro-vegetative dysfunction.
The effect of preoperative in-person education on the pain severity of patients undergoing coronary artery bypass graft (CABG) surgery
Pain is one of the most common symptoms experienced by patients undergoing coronary artery bypass graft (CABG) surgery. Adequate pain management is critical to the well-being and overall recovery of these patients. This study aimed to evaluate the effect of preoperative in-person pain education on the pain severity experienced by patients undergoing CABG surgery in Rajaie Cardiovascular, Medical and Research Center in Tehran in 2022.
Understanding microbial influence on mental health
The past decade in science has seen an influx of new research articles showing the relationship between the human gut microbiome and its direct or indirect effect on the Central Nervous System (CNS). Much of the current research points to microbial therapy as a potential treatment option for many mental health disorders and conditions.
Lung ultrasound: a new standard for diagnosis of ventilator associated pneumonia?
As the soft tissue- air interface is virtually impenetrable to ultrasound, its utility for evaluating lung pathologies was historically thought to be unfeasible [1]. However, the observation of different artifacts and novel research into their interpretations has helped transform this dogma and develop lung ultrasound as a valuable diagnostic tool in pulmonary diseases.
Focused ultrasound: Innovation in use for neurologic conditions
Focused ultrasound has emerged as a key tool for neurologic disorders. In this focused review, we discuss the utility in disrupting the blood brain barrier to maximize treatment. This can facilitate creating direct coagulative lesions and aid in the administration of chemotherapy. Furthermore, it can facilitate neuromodulation when used in pulse sequencing.
Dietary practice among mainstream bengali population and ethnic communities in bangladesh
Bangladesh has a number of ethnic minor group population and they lead their life in great ethnic diverse fashion [1]. They constitute about 1% of total population [1]. They are distributed in scattered way all over the hilly, riverine and dense forest region of the country [1].
Portrayal of substance use in media and its effects on substance use disorders among youth
A variety of behavioral, environmental, developmental, and genetic factors have been documented as contributing to the development of Substance use disorders (SUDs) in youth. For example, it has been suggested that things such as the perceived availability of substances, familial history of anti-social behavior, personal attitudes favorable towards drug use all have strong correlations to the development of substance use in youth.
Predictors of relapse in alcohol use disorder: identifying individuals most vulnerable to relapse
Alcohol Use Disorder (AUD) is described as a chronic relapsing condition with definitive behavioral markers and is characterized by repeated drug intake despite severe negative consequences [1]. With 12-month prevalence rates at 14% and lifetime estimates of 29% [2], it is clear that AUD adversely and substantially affects individual and societal health [3]. Recognized clinically as affecting decision making, relationships, and neurological function [4]
Glucan and Vitamin D supplementation showed synergy in improvements of the immune response against an influenza challenge in mice
Influenza infection remains a serious health problem throughout the world. Unfortunately, current medicine offers no real treatment or protection, moving our attention to alternative options. In this study we aimed to evaluate the possible effects of a combination of glucan and vitamin C on immunosuppression caused by influenza infection.
Common patient positioning in gastrointestinal endoscopy
Gastrointestinal endoscopic procedure is routinely utilized for diagnosis and treatment of gastrointestinal abnormalities. The optimal positioning for this procedure is to offer the best operative access while minimizing potential risk to the patient. Changing the patient's position could improve the probabilities of successful endoscopy. However, each position carries some degrees of risk and this is applied in each procedure. Commonly approved positions include lateral, prone and supine. This article addresses the common patient positions used for gastrointestinal endoscopic procedures.
Ocular surface squamous neoplasia treated with topical chemotherapy
A man in his 90s presented to clinic with a conjunctival lesion on the right eye noticed two months prior. The patient denied pain but endorsed worsening blurry vision. The patient’s past medical history was significant for skin cancer on the right ear removed 3 years ago, and a history of ocular surface lesion removal on one eye approximately 20 years ago that was negative for any neoplasia. Slit lamp photograph revealed a gelatinous and opalescent lesion suspicious for ocular surface squamous neoplasia (OSSN) and the high-resolution optical coherence tomography (HROCT) cut (arrow)
Detection of some synthetic cannabinoids (FUB-AMB and AB-FUBINACA) in blood and urine using Gas Chromatography-mass spectrometry liquid–liquid extraction
In recent years, various types of synthetic cannabinoids have become widely distributed and are causing social and health problems in most parts of the world. Synthetic cannabinoids are currently the largest group of new psychoactive substances. Those that have been subjected to legal control are replaced by newer controlled and uncontrolled substances.
Drug delivery via the upper nasal space: A novel route for anesthesiologists, intensivists and emergency department physicians?
Many drugs are effective systemically, but slow onset of non-intravenous routes of administration may limit their clinical utility. While anesthesiologists usually have intravenous (IV) access for drug delivery, other healthcare professionals in less controlled situations such as acute crises in the emergency room, critical care settings, or urgent needs in the community, may need non-invasive drug delivery [1].