There is now pending legislation in the United States Senate and the U.S. House involving the diversion of justice-involved individuals with behavioral health disorders from standard prosecution. Both bills use the Sequential Intercept Model (SIM), developed by Mark Munetz and Patty Griffin in collaboration with Hank Steadman, as an organizing tool to help structure the proposed law. What is the SIM? How can it be used?
We all want our doctors to be familiar with the latest developments in medicine, and to be able to offer us as patients the very best and informed healthcare. It is important that doctors in the fields of anaesthesia, critical care, and pain are up to date and familiar with the latest developments in these rapidly developing areas of medicine, with new techniques and drugs emerging which improve outcomes for patients. As professionals, we cannot stand still and we must always strive to improve outcomes for our patients.
Are electronic cigarettes (e-cigarettes) a relatively harmless substitute for cigarettes? Or are they a Trojan horse leading to nicotine addiction and ultimately chronic smoking? Many researchers believe the latter. E-cigarettes are battery-powered devices that deliver aerosolized nicotine and kid-friendly flavored additives, such as chocolate mint, piña colada, atomic fireball candy, and even gummy bears. Designed to mimic the look and habit of smoking, the devices are marketed as a relatively benign alternative to smoking, without the tar, carbon monoxide, and other harmful ingredients adversely affecting the heart and respiratory system. “Vaping,” the term for using e-cigarettes, emits only a cloud of vapor—not secondhand smoke.
Functional disorders are one of the most common reasons for attendance at the neurology clinic. These disorders — at other times and in other places called psychogenic, non-organic, conversion or hysterical — encompass symptoms such as paralysis, tremor and other abnormal movements, gait disorders and seizures.
Parents of a child diagnosed with a serious illness are immediately required to make decisions about their child’s medical treatment which, in order to save life, may cause pain, unpleasant side-effects and risk damaging their child’s future quality of life. The actions, last summer, of the parents of five year old Ashya King offer just one example of the lengths to which parents will go to secure the best possible treatment for their child […]
The human brain might be perceived as an organ with two main strategic tasks: goal-directed motor behavior, and mental functioning in order to work out that goal. These two main functions have two prototypical diseases: Alzheimer disease, in case of mental function, and Parkinson’s disease, with motor function. Following its inception as an entity, Parkinson’s disease (PD) was long perceived to be a purely motor disorder with unimpaired mental functions.
Wrath, people say, is not an emotion but a sin; and a deadly sin at that. Yet anger is just as much an emotion as anxiety or misery. Like them, it is an inescapable part of life; like them, it can be necessary and useful; and like them, an excess can wreck lives. Mental health language, however, has not elevated the extreme into a syndrome comparable to depression or anxiety states.
Traumatic brain injury (TBI) has often been called the “signature wound” of the recent conflicts in the Middle East. While some tend to discuss TBI as an overarching diagnostic category, there is a plethora of evidence indicating that severity of TBI makes a large difference in the anticipated outcome.
Nipple of a cat. Nose of a pig. Hair of a poodle. Eyes of a baboon. Brain of a chimpanzee. If this sounds like a list of ingredients for a witches’ cauldron, think again, for it’s merely a reminder of how many general characteristics we share with other mammals. This similarity in basic body parts has a genetic basis. So humans and chimps share 99 percent DNA similarity in our protein–coding genes and even the tiny mouse is 85 percent similar to us in this respect.
In 1805 a Dorset farmer, Benjamin Jesty arrived in London on an invitation from the Original Vaccine Pock Institute to describe his cowpox vaccination procedure on his own family which included a real time inoculation of his son Robert with smallpox. This new institute was formed by the anti-Jenner physician George Pearson in an attempt to shift the credit for vaccination discovery away from Jenner.
Of the many controversies surrounding the life and legacy of Christopher Columbus, who died on this day 510 years ago, one of the most intriguing but least discussed questions is his true country of origin. For reasons lost in time, Columbus has been identified with unquestioned consistency as an Italian of humble beginnings from the Republic of Genoa. Yet in over 536 existing pages of his letters and documents, not once does the famous explorer claim to have come from Genoa.
We are still in the longest war in our nation’s history. 2.7 million service members have served since 9/11 in the conflicts in Iraq and Afghanistan. Thousands have been killed, tens of thousands wounded, and approximately 20 to 30% have post-traumatic stress disorder and/or traumatic brain injury.
This month marks 266 years since the birth of one of the most celebrated names in medical discovery. Edward Jenner, credited with the discovery of the smallpox vaccination, was born on 17 May 1749 (6 May by the Julian calendar, still in use in England by a quirk of anti-papal authoritarianism until 1752) in the village of Berkeley in Gloucestershire, England.
It is now two years since the publication of DSM-5. As one might expect when a widely used manual is revised, some mental health clinicians were worried they would have to learn diagnosis from scratch.
Things move fast at the acute end of medicine – and nowhere is this more apparent than in the field of intensive and acute cardiovascular care. This important field has been somewhat neglected at the expense of super-subspecialisation in cardiology. But times are changing.
There has been an ongoing battle to end homelessness in the United States, particularly among veterans. Over the past three decades, considerable research has been conducted to identify risk factors for veteran homelessness, and the Department of Veterans Affairs (VA) has funded much of that research. In 2009, the Department of Veterans Affairs (VA) announced its commitment to end veteran homelessness in five years. As we near the end of that five years, it’s important to reflect on what we have learned and what we now know about veteran homelessness.