Peer-influenced content. Sources you trust. No registration required. This is HCN.
British Medical Journal (The BMJ)
All agree that the well-being of the patient is paramount. But how to find that in the midst of so much hostility and criticism? When the evidence base is weak or disputed, other factors must be weighed, such as how invasive is the recommended intervention.
Internal Medicine March 22nd 2023
Psychiatrist.com
The journal was created 25 years ago to address the disconnect between typical residency behavioral health training the skills needed to treat patients with depressive and related psychiatric illness in primary care.
Family Medicine/General Practice March 15th 2023
Many studies have a high risk of bias and significant heterogeneity, implying that results should be interpreted with caution. Nonetheless, most estimates of symptom change for general mental health, anxiety symptoms, and depression symptoms were close to zero and not statistically significant, and significant changes were of minimal to minor magnitudes. In all domains, women or female participants experienced minor negative changes.
Psychiatry March 14th 2023
ReachMD
Researchers from Texas Tech University discovered that participants who had only ever sent (but never received) sexts reported higher levels of depression, anxiety, and sleep problems than the other groups. They also suggested a link between sexting, marijuana use, and compulsive sexual behavior. According to the report, more than half of adults have sent a sext, and women are up to four times more likely than men to have received nonconsensual sexts. Many people say they enjoy consensual sexting because it empowers them and builds their self-confidence, but nonconsensual sexting can cause feelings of violation and awkwardness.
Family Medicine/General Practice March 7th 2023
Epilepsy Currents
Overall, studies on sudden unexpected death in epilepsy (SUDEP) counseling emphasize the importance of patient and family education and agree on its content and process. Future research should look into how it affects epilepsy management and the psychosocial well-being of adults and children with epilepsy and their caregivers from various cultural and ethnic backgrounds, as well as SUDEP rates. In this regard, the impact of newer technologies and health-care models should be assessed. Although the scientific community is hard at work elucidating the pathophysiology and prevention strategy of this dreaded occurrence, such longitudinal studies have the potential to inform both practice and policy, as well as act as a catalyst in bridging the currently existing gap between family-desired and clinician-provided counseling.
Neurology March 7th 2023
The question of whether, when, and how children and adolescents with gender dysphoria should be treated medically or surgically is contentious. Gender dysphoria in the United States is being treated with “gender affirming care,” which may include gonadotrophin releasing hormone analogues (GnRHa) to suppress puberty, oestrogen or testosterone to promote secondary sex characteristics, and surgical removal or augmentation of breasts, genitals, or other physical features. At the same time, several European countries have issued guidelines limiting medical intervention in minors and emphasizing psychological care. There is little doubt in the medical community that children in distress require care, but there are concerns about the rapid widespread adoption of interventions and calls for rigorous scientific review from all corners.
Endocrinology, Diabetes, Metabolism March 7th 2023