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From Tracers to Treatment
Published in Alan Perkins, Life and Death Rays, 2021
Despite the introduction of iodine-enriched salt, thyroid disease remains a major health problem in some populations, particularly in the central regions of the Indian continent. Patients with an overactive thyroid have a number of miserable symptoms in addition to neck swelling. The symptoms include nervousness, anxiety, irritability twitching and trembling. Patients often have an irregular or unusually fast heart rate (palpitations), have difficulty sleeping, feel persistently weak and tired and have mood swings.
Medications That May Be Useful in the Management of Patients with Chronic Intractable Pain
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
Prescribe or dispense sparingly. Take early in the day (especially sustained-release dosage forms) to avoid nighttime insomnia. Do not increase dosage, except on physician’s advice. May impair ability to drive or perform other tasks that require alertness. Notify your physician if you have problems with nervousness, restlessness, insomnia, or dizziness.
Disorders
Published in Jonathan P Rogers, Cheryl CY Leung, Timothy RJ Nicholson, Pocket Prescriber Psychiatry, 2019
Jonathan P Rogers, Cheryl CY Leung, Timothy RJ Nicholson
Medications for anxiety (particularly antidepressants) can often worsen nervousness and agitation in the first 1–2 wk before they start to have an effect, so warn patients about this and see them more frequently during this period.BAP Consider adding short course of benzodiazepine (e.g. diazepam 2 mg tds for 7–10 days).
Ketofol performance to reduce postoperative emergence agitation in children undergoing adenotonsillectomy
Published in Libyan Journal of Medicine, 2020
Idress Ali, Murad Alahdal, Haifa Xia, Arafa S. El. Moughrabi, Huang Shiqian, Shanglong Yao
The primary outcome of this study was the Pediatric Anesthesia Sudden Delirium (PAED) scale in the post anesthesia care unit (PACU). Postoperative pain and EA were assessed for 60 min by a blinded care unit nurse. Because most of the EA incidents ensued within 30 min of PACU arrival [20], EA was appraised interval 5 min for the first 30 min and then every 10 min for the outstanding 30 min. It includes five objects (eye contact with the caregiver, purposeful action, and awareness of surroundings, restlessness, and inconsolability). Each item was scored by five scores (0 to 4) permitting to its degree, for a maximum of 20 points. Anxiety scores ≥10 were observed as presence of tension, and scores ≥15 were viewed as severe nervousness. Postoperative pain was gauged by independent pain score (OPS), a test used to judge pain in children, at the same time intermissions. Postoperative Vomiting (POV) was appraised using a numeric rank score (0–2), where a score of 0 = no vomiting, 1 = vomited once, and 2 = vomited twice or more. Throughing up was not recorded because it was difficult to be evaluated in the children. HR, NIBP, RR, and SpO2 were noticed in the PACU each 5 min for the first 15 min, then at 15-min intermissions for the remaining 45 min. Any desaturation episode with SpO2 below 95% was well known. Difficulties during the appearance period and in the PACU, such as laryngospasm, bronchospasm bradycardia, respiratory downheartedness, hypotension, and nausea were logged and achieved suitably. Children were cleared from the PACU when they were serene and had an Aldrete score of ≥9.
Faking Good: An Investigation of Social Desirability and Defensiveness in an Inpatient Sample With Personality Disorder Traits
Published in Journal of Personality Assessment, 2019
Margot M. Williams, Richard Rogers, Allyson J. Sharf, Colin A. Ross
Predictably, this inpatient sample reported notably higher facet and domain scores (see Table 1) than either undergraduate (Keeley et al., 2014) or outpatient (e.g., Quilty, Ayearst, Chimielewski, Pollock, & Bagby, 2013) samples. In particular, they tended to describe themselves as high in traits related to negative affect and disinhibition, with comparatively lower levels of antagonism. Of note, traits of nervousness and apprehension (i.e., anxiousness) were most frequently manifested, with the majority disclosing anxiousness at a clinically elevated level. Related affective traits (e.g., depressivity and emotional lability) were also commonly observed, as well as high levels of submissiveness, which is associated with negative affectivity (Krueger & Markon, 2014). Overall, inpatients tended to experience prominent features of negative mood, which might manifest as interpersonal or behavioral problems. In stark contrast, very few inpatients (< 10%) endorsed feelings of superiority or lack of remorse (i.e., grandiosity and callousness).
Living With Dual Diagnosis and Homelessness: Marginalized Within a Marginalized Group
Published in Journal of Dual Diagnosis, 2019
Christian Schütz, Fiona Choi, Michael Jae Song, Christiane Wesarg, Kathy Li, Michael Krausz
Designed as a tool for outcome research among people with drug and alcohol problems, the MAP (Marsden et al., 1998) has demonstrated high internal reliability and concurrent validity as well as good test–retest reliability (Mäkelä, 2004; Marsden et al., 1998, 2000). Selected modules from the MAP were used in the study’s analysis, including substance use frequency (days) in the last 30 days for alcohol, cocaine, crack, heroin, and injection drugs and prevalence of unprotected sex in the past 30 days. The MAP’s physical and psychological scores were also included in the analysis. These scores are measured by two 10-item scales that use a 5-point Likert-type scale to assess the frequency of specific symptoms that ranges from never, rarely, sometimes, often, to always. Physical symptoms measured include poor appetite, tiredness/fatigue, chest pains, difficulty breathing, nausea, stomach pains, tremors/shakes, numbness/tingling, joint pain, and muscle pain. Psychological symptoms included for anxiety: feeling tense, suddenly scared for no reason, feeling fearful, nervousness or shakiness inside, and spells of terror or panic. Depression included feeling hopeless about the future, feelings of worthlessness, feeling no interest in things, feeling lonely, and thoughts of ending your life. For personal and social functioning, nine items were included in three areas: relationship conflict, employment, and criminal behavior.