Subject(s)
Antipsychotic Agents/adverse effects , Cytochrome P-450 Enzyme System/genetics , Dopamine Antagonists/adverse effects , Long QT Syndrome/chemically induced , Piperazines/adverse effects , Serotonin Antagonists/adverse effects , Thiazoles/adverse effects , Antipsychotic Agents/pharmacology , Clinical Trials as Topic/standards , Cytochrome P-450 CYP2D6/genetics , Cytochrome P-450 Enzyme System/metabolism , Dopamine Antagonists/pharmacology , Drug Interactions , Genotype , Humans , Piperazines/pharmacology , Serotonin Antagonists/pharmacology , Thiazoles/pharmacologySubject(s)
Anti-HIV Agents/adverse effects , Antimanic Agents/adverse effects , Chemical and Drug Induced Liver Injury/etiology , Nevirapine/adverse effects , Ritonavir/adverse effects , Valproic Acid/adverse effects , Anti-HIV Agents/administration & dosage , Antimanic Agents/administration & dosage , Bipolar Disorder/drug therapy , Drug Therapy, Combination , HIV Infections/drug therapy , Humans , Male , Middle Aged , Nevirapine/administration & dosage , Ritonavir/administration & dosage , Valproic Acid/administration & dosageSubject(s)
Anti-Ulcer Agents/adverse effects , Cisapride/adverse effects , Cytochrome P-450 Enzyme System/metabolism , Hypericum/adverse effects , Mixed Function Oxygenases/metabolism , Plants, Medicinal , Psychotropic Drugs/adverse effects , Referral and Consultation , Adverse Drug Reaction Reporting Systems , Cytochrome P-450 CYP3A , Drug Interactions , Enzyme Induction , Herb-Drug Interactions , Humans , Product Surveillance, PostmarketingSubject(s)
Drug Interactions , Internet , Patient Care Team , Psychiatry , Psychotropic Drugs/adverse effects , HumansABSTRACT
The authors examined the ability of nonpsychiatric house staff to accurately diagnose delirium at the time of consultation. Of 221 consultations over a 5-year period, 46% were misdiagnosed by the house staff. House staff on the general medicine wards and the nonintensive care unit environment did significantly better than those on the surgical wards and intensive care units. Age, gender, and race of the patient did not overall influence incorrect diagnoses; however, when a misdiagnosis occurred, women were more often given a diagnosis of a depressive disorder, whereas men were more often given a "no diagnosis" label. Finally, the consultees improved over an academic year in accurately identifying women as delirious, whereas no such learning curve existed for men.
Subject(s)
Delirium/diagnosis , Patient Care Team , Adolescent , Adult , Aged , Aged, 80 and over , Delirium/classification , Depressive Disorder/classification , Depressive Disorder/diagnosis , Diagnostic Errors , Female , Humans , Male , Medical Staff, Hospital , Middle Aged , Referral and ConsultationABSTRACT
A brief historical review of military psychiatry in the United States Army is presented, focusing on the development of psychiatric treatment of soldiers with acute stress reactions. The authors outline the current roles of the military psychiatrist during peacetime and war, including direct care provider, consultant, and administrator, and discuss the contributions of military psychiatry to the civilian sector in the areas of crisis intervention, community psychiatry, family psychiatry, and substance abuse prevention and treatment.
