Psychosis, agitation, disorientation, or bizarre behavior due to drug ingestion is a common presentation to the emergency department (ED), and frequently psychiatry is consulted to assess for an underlying psychiatric illness. A working knowledge of how different substances are expected to affect patients is an important part of keeping up-to-date as a psychiatric emergency clinician.
When I first met Ian Waterman in the mid-1980s I could scarcely believe him. He claimed to have lost touch, and movement and position sense (termed proprioception) below the neck, though he could still feel pain and temperature, and his movement nerves were unaffected. Not only was I not aware of any such condition in medicine, but he had walked to the clinic and was sitting calmly as we chatted.
A month before Joan of Arc’s heresy was cleansed by fire on this day in 1431 CE, a spokesman for her Burgundian accusers railed against her: “O Royal House of France! You have never known a monster until now! But now behold yourself dishonored in placing your trust in this woman, this magician, heretical and superstitious.”
We’re all quite familiar with having five senses: sight, touch, taste, smell, and hearing. These senses help us understand the world outside our body. The idea of five senses is so ingrained that having a ‘sixth sense’ is a clue that something isn’t right. But what about other physical sensations?
Alcoholics Anonymous has provided millions of people with a chance at recovery from addiction. There is one aspect of membership for some members that most people, even addiction specialists, are not aware of, namely, the remarkable transformation that many AA members call a spiritual awakening. It’s a remarkable phenomenon for anyone interested in social science on the addictions.
When travelling the globe, most intrepid adventurers and holiday-makers will encounter only minor health problems. But knowing and understanding possible hazards is fundamental to preventing them. When planning an adventure, people often seek novel experiences – and contemporary travel is able to take us (within just a few hours) from a relatively benign environment to a potentially life-threatening setting.
Several widely circulated opinion pieces assert that because there is no detectable increase in all brain cancers in Australia in the past three decades, cell phones do not have any impact on the disease. There are three basic reasons why this conclusion is wrong.
Dementia, from the Latin demens, is a persistent disorder of the mental processes marked by memory disorders, personality changes, and impaired reasoning. It affects 47.5 million people worldwide, and there are 7.7 million new cases annually. This year’s Dementia Awareness Week (15-21 May 2016) aims to bring recognition and awareness to this neurological illness.
All over the world, populations are changing. People are living longer, and older people are forming a larger percentage of the global population. Baby boomers are retiring and improved health care has extended life expectancy. At the same time, as globalisation and urbanisation break apart familiar social and family structures, more older adults are living alone or without social support.
Philosophers of science are in the business of explaining the special features of science, like the unifying power of scientific explanation and the wonderful sense of understanding it produces. We try to explain the amazing success of modern scientific theories, the structure of inductive inference in the science, and extract systematic positions – like realism, constructivism, and empiricism – from the evidence of theoretical success.
In an op-ed published in the New York Times titled “Why You Hate Work”, Schwartz and Porath highlighted Gallup data that revealed that only 30% of employees in the US and 13% across 142 countries feel engaged at work. Noting the high rate of burnout, they declared that for most of us, work is a depleting, dispiriting experience that is getting worse.
Global population is aging rapidly. Over the next four decades the number of individuals aged 60 years and older will nearly triple to more than 2 billion in 2050 (UN, 2013). Mindful physical exercise has become an increasingly utilized approach for improving psychological well-being and is defined as “physical exercise executed with a profound inwardly directed contemplative focus.”
Addiction is not a condition that springs to mind when we think of afflictions of the elderly, and yet it probably should be. Until now, alcohol or substance abuse among older patients has received relatively little attention, either as a clinical focus or as a research initiative. But we can no longer afford to neglect this growing cohort of affected individuals.
With bursts of sunshine starting to break through the relentless spring showers, the world is gearing up for summer. For a lot of us, that means getting away for a few weeks, and enjoying the glorious sunshine that the warmer weather brings. Unfortunately, basking in the summer sunshine isn’t without its risks.
“We are getting more and more precise about the different risk factors for the various subtypes of cancer,” said Stephen Hursting, PhD, MPH, professor in the department of nutrition at the University of North Carolina at Chapel Hill. One established factor is obesity, now well linked to at least ten cancers, including pancreatic, colorectal, endometrial, and hormone receptor–positive, postmenopausal breast cancer.
In these days of Zika, Chikungunya, Dengue, and Ebola pandemics, and with the devastating smallpox, influenza, and polio epidemics of the 20th century still fresh in our collective memories, it seems counterintuitive to consider the possibility that viruses will ever be regarded other than with fear and loathing. However, if trials currently underway in Europe, Australia, and the US prove successful, then we may eventually reach a point where certain viruses are viewed with approval and even a degree of affection.