Google Tech Talk March 22, 2010 ABSTRACT Presented by Kevin Biglan, MD, MPH and Ray Dorsey, MD, MBA, University of Rochester. The cost of clinical trials is rising, recruiting participants is increasingly difficulty, and monitoring safety is increasingly important. Home and patient appropriate technologies like the Marvell Plug computer and Google products can help address all of these issues. We will discuss our efforts to monitor blood pressure remotely using these technologies in a Michael J. Fox funded Parkinson disease clinical trial. Telemedicine using simple web-based video conferencing using, for example, the Marvell Plug computer and Google’s services can also address large unmet needs in clinical care. Chronic conditions account for 75% of health care expenditures and affect over 140 million Americans. However, many have limited access to physicians, especially specialists, who can improve their care. We will present results of a pilot, randomized controlled trial of increasing specialty access using telemedicine to individuals with Parkinson disease residing in a remote nursing home and remote communities. We discuss future directions, including providing care directly into people’s homes (‘virtual house calls’), and ways that Google’s services can provide additional value. A new variation of the Marvell Plug computer in planned as an interactive television server for the virtual house calls in a upcoming study.
An attractive, highly successful Beverly Hills entertainment lawyer, Terri Cheney had been battling debilitating bipolar disorder for the better part of her lifeâand concealing a pharmacy’s worth of prescription drugs meant to stabilize her moods and make her “normal.” In explosive bursts of prose that mirror the devastating mania and extreme despair of her illness, Cheney describes her roller-coaster existence with shocking honesty, giving brilliant voice to the previously unarticulated madness she endured. Brave, electrifying, poignant, and disturbing, Manic does not simply explain bipolar disorderâit takes us into its grasp and does not let go.
William P. Adams M.D., F.A.C.S.~~Welcome to the iPhone and iPad App of The Adams Center! Dr. William Adams is proud to bring The Adams Center to Apple’s exciting mobile platform! Download our app to receive special “app only” offers, to easily request an appointment, to learn more about the procedures Dr. Adams performs, and to view our before and after photos instantly. At The Adams Center, our mission is to make you look and feel your best. We believe in a whole body approach to beauty and are dedicated to your care and to providing straightforward, honest answers to your questions. We feel that our blending of cosmetic surgery, non-surgical treatments, and a healthy lifestyle help create a positive body image and mental attitude. We define ourselves by: Honesty: By providing you with straightforward, honest answers, we believe you can make the best decisions concerning your medical care. Ethics: Our entire staff holds personal and professional ethics in the highest regard. Innovation: Dr. Adams participates in a rigorous schedule of professional seminars. Often, the newest advances in cosmetic and reconstructive care are taught at, or develop out of these conferences. With over 28 years as a Board Certified Plastic Surgeon, Dr. Adams has been noted as one of the best Board Certified Plastic Surgeons in Boston and the world. In private practice since 1979, Dr. Adams is the founder of Boston’s renowned Adams Center. He is a Fellow of the American College of Surgeons, and the American Society of Laser Medicine and Surgery. He has been voted by “Best Doctors” as one of the premier plastic surgeons in the U. S., and recognized by Improper Bostonian as one of the best plastic surgeons in Boston. Dr. Adams is an Associate Clinical Instructor of Surgery at Harvard Medical School, and Massachusetts General Hospital. He is a frequent featured speaker at national and international plastic surgery seminars on a variety of subjects including rhinoplasty, ultrasonic assisted liposuction, hair transplantation, and more.
Accessible and clinically relevant, A Clinician’s Guide to Statistics and Epidemiology in Mental Health describes statistical concepts in plain English with minimal mathematical content, making it perfect for the busy health professional. Using clear language in favour of complex terminology, limitations of statistical techniques are emphasized, as well as the importance of interpretation – as opposed to ‘number-crunching’ – in analysis. Uniquely for a text of this kind, there is extensive coverage of causation and the conceptual, philosophical and political factors involved, with forthright discussion of the pharmaceutical industry’s role in psychiatric research. By creating a greater understanding of the world of research, this book empowers health professionals to make their own judgments on which statistics to believe – and why.
It is normal to feel a little apprehension and anxiety, especially when you have to try out something new, or you are going to a new place. This apprehension or anxiety is because of the lack of assurance over an unknown outcome. This is because you feel afraid of a negative outcome or the possibility of a failure. The problem comes in when this apprehension or anxiety is already out of hand, in the sense that you are already confined to the safety of your home, and you are already prevented from doing normal activities that will be normally enjoyed by a person.
This state where your decision-making capabilities are already impaired because of groundless and uncontrolled apprehension is called anxiety disorder. Anxiety disorder can prevent you from learning and concentrating on the positive outlook of things, and in worst cases, it can cause you to avoid certain places or people who make you feel nervous. This could also cause extreme irritability and lack of concentration. Anxiety disorder is also the cause of self-doubt, unexplained irritation and depression, which could lead to health problems such as sleep deprivation, nausea, vomiting and weakness. There also rare cases where anxiety disorder causes a rise in blood pressure and heart rate, which can cause loss of breath.
But just like any problem, anxiety disorder can be taken cared of with the proper support. There are institutions and organizations that offer a mental health support system that can help you control your anxiety levels. A mental health network is a group of people who have either devoted their time to study anxiety disorder, or who have had the same problems before. This mental health network can help you take the necessary steps to control your reactions to certain stimuli and give you a more optimistic outlook about life.
Mental health support is not easy to give. This can emotionally take a lot from a person and oftentimes, people who offer this kind of support end up feeling as exhausted as the people they are helping. This kind of support given out by a mental health network is priceless. Because they are offering a lot, and most of the time do not want something in return.
Paul R. Puri, M.D., Inc.~~Developed by a Psychiatrist for mental health providers, from seasoned clinicians to students.Psych Dx aims to be the pocket reference of choice, a learning tool regularly updated with new features.Its goal is to offer something for providers at every level, from student to nurse to attending.For students, why pay for a laminated mental status exam card? Have psychiatric terms at your fingertips, handy pearls, as well as a glossary of terms and abbreviations.For residents and attendings, have useful information without having to dig around. Maximize reimbursement by using the best billing codes, even Vcodes you didn’t know you could use! Find rating scales for tracking everything from Depression to PTSD.For any provider, don’t guess the GAF, use our algorithm. Figure out abbreviations others use, or why a false positive might come up on a utox.And that’s just the start. See the full list of features below. More is added regularly.Disclaimer: This app is intended for use by health professionals and is not a substitute for medical advice. While the information is considered up to date, no guarantee is given that new data has not emerged that may contradict it. -DSM diagnostic criteria is NOT included, unfortunately. The APA is very restrictive on who they allow the rights to publish DSM information. A feature is in development that will critically appraise major diagnostic criteria of major illnesses, comparing the ICD-10 to the DSM, showing the strengths and drawbacks of each. Current Features include:-Breakdown of the Mental Status Exam:–Thesaurus of terms for each section of the MSE, even defining many terms often misused. Especially useful for students.–Info on clinical significance of findings, especially as related to less common findings and conditions. –Includes basic cognitive testing on MSE-Searchable database of ICD-9CM codes for mental illnesses (for billing purposes):–Broken down by diagnostic category–V-codes for all occasions. If a normal coding doesn’t seem appropriate, look at the wide arrangement of v-codes. –Includes pearls-False positive causes and detectability period of urine tox-Screening workup and medical DDx for psychosis, depression, anxiety-GAF rating guide, including an algorithm based GAF guide. -Benzodiazepine equivalence chart, including half-life and time to peak blood level. -Benzo metabolite chart. -Rating scales, including an in-app calculator to tally the score! QIDS, Ham-D, MoCA, AIMS, AUDIT, CIWA, COWS, Ham-A, PCL-C, PSWQ. Tools for screening and monitoring a variety of conditions. -Psychiatric symptoms suggestive of a medical etiology (in clinical pearls) -A Rundown on Neuropsych testing — the basics on when to refer, how it’s done, and understanding the utility of common tests-Glossary section including commonly used medical abbreviations.-References and Further Reading for material includedFuture updates plan to include:-Medical Workup recommendations for delirium-A comparison and critique of major diagnostic criteria for mental illnesses (ICD-10 vs. DSM), with references-Further development of an integrated database where findings within the mental status exam or even history can connect to a differential diagnosis, and ways of evaluating the differential based on the literature.–A breakdown of particular rare psychotic symptoms, and known medical etiologies of those symptoms. With references.-Lookup of herbals and their possible psychiatric sequelae-Breakdown of h&p componentsWe strive to create the best tool for you as a provider, to serve your needs for diagnosis, communication, and even education. That means we want to make it better for you, to make this app provide whatever it is you need as a clinician or student. Send us your feedback and wishlist, and we will aim to include any desired features in future updates.
Check out these community mental health centers images:
South Bronx Mental Health Council, Inc. Community Mental Health Center – 1/27/12 Image by NYS OASAS
Commissioner Arlene Gonzalez-Sanchez visits the South Bronx Mental Health Council, Inc. Community Mental Health Center (1/27/12)
Detention centre staff ‘cracked’ Image by publik16
Immigration Minister, Chris Evans… certainly there may be some obligations on the department in relation to these matters. More than 60 former staff at Australian immigration detention centres have reported long-term mental health problems associated with the stress of the job. There were 62 cases of mental illness among former guards at the Woomera and Baxter detention centres in South Australia.
Depression and anxiety are mental health conditions that often coexist, but they aren’t the same. Learn more. mental.healthguru.com
www.facebook.com A woman’s battle with mental illnesses & suicide. Through her journey, she has made it her passion to unite the sufferers of mental health illness and suicide. She is the founder of Death To Breath: Support for sufferers of mental health conditions & suicide. Also a member of MHA and a Field Advocate for AFSP/SPAN-USA 6th Congressional District of WA State. You can follow her advocacy work and contribute at www.facebook.com This video and content is copyright 2011 by the originator. All rights reserved.
