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Depression and pain: a complex relationship
Our commentaries from the Primary Care Neurology Society (P‐CNS) provide a primary care perspective on the neurology articles in Progress. Here, Dr Calinas Correia considers ‘Depression and pain: the need for a new screening tool’ (see p26). (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - January 1, 2016 Category: Neurology Authors: João Calinas Correia Tags: Comment Source Type: research

Digest
Mental ill health increases emergency care use People with mental ill health are not having their care well managed, according to a report by QualityWatch (www.qualitywatch.org.uk), a research programme developed by the Nuffield Trust and the Health Foundation. Focus on: People with mental ill health and hospital use used hospital episode statistics to analyse the utilisation of emergency care in 2013/14 by people with mental ill health. Compared with individuals without mental ill health, the rate of emergency admissions was three times greater and there were five times more emergency admissions. However, only one‐fifth...
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Tags: Digest Source Type: research

Diagnosis and management of ASD in children and adolescents
As part of our series on managing neurological and psychiatric conditions in children and adolescents, Dr Ellison‐Wright and Dr Boardman discuss autism spectrum disorders (ASD). (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Zoé Ellison‐Wright, Chrissy Boardman Tags: Review Source Type: research

An overview of delirium for the community and hospital clinician
Despite an increasing prevalence of delirium in hospitals and community settings, it is a condition often overlooked by clinicians and this carries considerable cost implications for the NHS. In this review, Dr Raju and Dr Coombe‐Jones describe risk factors for delirium, symptoms, how to diagnose and manage delirium, and finally, what prospects prognosis can hold. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Keerthy Raju, Matthew Coombe‐Jones Tags: Review Source Type: research

Six‐item Cognitive Impairment Test: suitable for the visually impaired?
Unsurprisingly, visually impaired individuals perform worse than controls on MMSE items requiring vision. The issue of meaningful cognitive assessment in visually impaired individuals may become of increasing importance due to an association between cognitive decline and visual loss. Dr Larner reports on the effectiveness of using the Six‐item Cognitive Impairment Test (6CIT) in visually impaired patients and examines its potential use in settings such as primary care and old age psychiatry memory clinics. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Andrew J Larner Tags: Original research Source Type: research

Treatment resistant catatonia secondary to clozapine withdrawal
Catatonia has a wide range of psychiatric and organic causes. It has been less commonly associated with withdrawal of clozapine. The authors describe the case of a male with paranoid schizophrenia presenting with catatonia following abrupt cessation of clozapine, which showed little improvement with benzodiazepines or electroconvulsive therapy (ECT). (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Yasmine Nasr, Ramanathan Ganapathy Tags: Case notes Source Type: research

A case of endometrial carcinoma with depression – diagnostic dilemma
Depressive symptoms such as loss of appetite, weight loss, tiredness and lack of energy may be due to a psychiatric disorder or equally be due to physical illness, including carcinoma. Here, Drs Guruvaiah and Kranidiotis describe the diagnostic challenge faced when a patient presents with the above symptoms without any obvious signs or symptoms of physical illness. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Latha Guruvaiah, Laki Kranidiotis Tags: Case notes Source Type: research

Bullying and mental health – the risk factors and legacy
Bullying damages lives and can leave a legacy of increased risk of mental illness for its victims. Mark Greener reviews some of the recent research into bullying and considers what more need to be done to help understand and deal with this pervasive problem. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Mark Greener Tags: News review Source Type: research

Transforming mental health wards utilising new technologies?
(Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - December 8, 2015 Category: Neurology Authors: Prasanna de Silva Tags: Comment Source Type: research

Assessment and management of delirium in primary care
Our commentaries from the Primary Care Neurology Society (P‐CNS) provide a primary care perspective on the neurology articles in Progress. Here, Dr Stephens considers ‘An overview of delirium for the community and hospital clinician’ (see p23). (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - November 1, 2015 Category: Neurology Authors: Jane Stephens Tags: Comment Source Type: research

Established, new and future disease modifying therapies for MS
Over recent years the pace of therapeutic development in multiple sclerosis has increased, and there are now 10 disease‐modifying therapies available. In this review the authors discuss the evidence supporting the use of these drugs and consider which new treatments may be available in the future. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - October 13, 2015 Category: Neurology Authors: S Binks, R Dobson Tags: Review Source Type: research

Mental health and CPD: could videoconferencing be a way forward?
Videoconferencing is not being widely used at present in mental health, however, it has the potential to be a useful resource if utilised alongside more traditional continuing professional development (CPD) to remain up‐to‐date within psychiatry. Dr Scott and Dr Shankar describe their literature search of the topic to undercover the benefits and limitations of videoconferencing as an educational tool. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - October 13, 2015 Category: Neurology Authors: David Scott, Rohit Shankar Tags: Review Source Type: research

QIP on baseline prolactin monitoring in psychiatric inpatients on antipsychotics
Mental health patients suffer higher rates of mortality and morbidity due to physical health problems. A number of antipsychotics are associated with significant increases in plasma prolactin levels and the risk of hyperprolactinaemia. The importance of physical health monitoring is increasingly recognised and commissioned for in mental health services. In the context of greater focus on physical health monitoring in mental health settings, this project set out to assess and improve compliance with guidance on baseline prolactin level testing of inpatients on antipsychotics. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - October 13, 2015 Category: Neurology Authors: Shaazneen Ali, Emily Simon Thomas, Saran Looby, Ed Beveridge Tags: Original Research Source Type: research

Diogenes syndrome: patients living with hoarding and squalor
With a growing awareness that hoarding can be found in many psychiatric conditions, clinicians may recognise an increase in referrals for people presenting with hoarding. Here, the authors present three cases of hoarding behaviour stemming from different psychiatric conditions and discuss how hoarding can be managed. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - October 13, 2015 Category: Neurology Authors: Debbie Browne, Rekha Hegde Tags: Case notes Source Type: research

Evaluation of targeted training for clinicians in scoring and documenting vital signs in mental health inpatient settings
(Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - October 13, 2015 Category: Neurology Authors: Mark Singleton Tags: Letter Source Type: research