Treatment of postpartum psychosis in a mother-baby unit: do both mother and baby benefit?

2019 ◽  
Vol 27 (2) ◽  
pp. 121-124 ◽  
Author(s):  
Rebecca Hill ◽  
Daphne Law ◽  
Chris Yelland ◽  
Anne Sved Williams
Keyword(s):  
Atypical Antipsychotic ◽  
Retrospective Review ◽  
Medical Records ◽  
Growth And Development ◽  
High Rate ◽  
Postpartum Psychosis ◽  
Risks And Benefits ◽  
Normative Growth ◽  
Inpatient Psychiatric Unit ◽  
Lithium Augmentation

Objectives: To describe characteristics and treatments of mother-baby dyads affected by postpartum psychosis admitted to a specialist mother-baby inpatient psychiatric unit in Australia. Methods: A retrospective review of medical records for all mothers with postpartum psychosis and their babies admitted to a mother-baby unit over a 5-year period was conducted. Results: A total of 25 dyads met the study criteria. Affected women were found to be severely ill with a high rate of involuntary status (64%). They waited an average 4.7 days for a bed in the mother-baby unit. All received an atypical antipsychotic, with 16% receiving lithium augmentation. Infants were found to have generally normative growth and development, with relationship concerns noted in 5. A total of 36% of the cohort maintained some breastfeeding, and all had their infants in their care at discharge. Conclusions: The mother-baby unit enabled severely ill women to remain with their infants during treatment. While a minority of infants showed developmental concerns, appropriate development was noted in most. Future efforts should focus on determining the most effective treatments and further defining the risks and benefits for infants in mother-baby units.

scholarly journals Topical Amitriptyline-Ketamine for Treatment of Rectal, Genital, and Perineal Pain and Discomfort

2012 ◽  
Vol 6;15 (6;12) ◽  
pp. 485-488
Author(s):  
Mark D. P. Davis
Keyword(s):  
Adverse Effects ◽  
Pelvic Pain ◽  
Retrospective Review ◽  
Medical Records ◽  
Academic Medical Center ◽  
The United States ◽  
High Rate ◽  
Perineal Pain ◽  
Complete Relief ◽  
Patient Reported

Background: Pain in the rectal, genital, and perineal area is a common condition treated by pain physicians. These chronic pain syndromes are therapeutically challenging because both interventional and drug therapies often are ineffective. Objectives: To determine if pelvic pain can be treated effectively with compounded topical amitriptyline-ketamine. Study Design: A retrospective review of medical records. Setting: A single academic medical center in the United States. Methods: We identified all patients treated with topical amitriptyline-ketamine from January 1, 2004, through November 28, 2011. Medical records were evaluated to determine the diagnosis for which the medication was prescribed. Treatment efficacy and any adverse effects were recorded. Results: Of the 1,068 patients who received amitriptyline-ketamine, 13 had the medication prescribed for genital, rectal, or perineal pain and had medication efficacy recorded. These patients were treated with a topical combination of amitriptyline 1-2% and ketamine 0.5%. Of these 13 patients, one (8%) had complete relief, 6 (46%) had substantial relief, 4 (31%) had some relief, and 2 (15%) had no response. One patient reported occasional irritation while using topical amitriptyline-ketamine with lidocaine; no other patients reported local or systemic adverse effects. Limitations: Retrospective review; lack of uniform system for pain grading; concurrent use of other medications. Conclusions: Topical amitriptyline-ketamine provided a high rate of pain relief with a low adverse-effect burden in patients with pelvic pain. This topical medication could offer an effective, noninvasive, nonopioid therapy for pain in the rectum, perineum, and genitals. Key words: Amitriptyline, rectal, compounded medication, genital, ketamine, pain, pelvic, perineal.

A Retrospective Review of Medical Records of Laboratory-Tested Sexually Transmitted Infections of Transsexual Men from Southern Brazil

2019 ◽  
Vol 48 (5) ◽  
pp. 1573-1579
Author(s):  
Anna Martha Vaitses Fontanari ◽  
Luciana Lemos Vianna ◽  
Maiko Schneider ◽  
Bianca Machado Borba Soll ◽  
Karine Schwarz ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Retrospective Review ◽  
Medical Records ◽  
Southern Brazil ◽  
Sexually Transmitted

scholarly journals Aryepiglottoplasty for Severe Laryngomalacia

2014 ◽  
Vol 4 (1) ◽  
pp. 10-12
Author(s):  
Akanksha Saxena ◽  
Madhumita Kumar ◽  
Bini Faizal
Keyword(s):  
Retrospective Review ◽  
Medical Records ◽  
Low Cost ◽  
Favorable Outcome ◽  
Medical Sciences ◽  
Common Cause

ABSTRACT Laryngomalacia is the most common cause of stridor in children below the age of 1 year. In majority of the cases it can be managed conservatively, but in severe cases intervention becomes necessary. Objectives To evaluate the outcome of aryepiglottoplasty (Cold steel method) in cases of severe laryngomalacia. Methods Retrospective. Review of medical records of 8 cases treated in Department of ENT, Amrita Institute of Medical Sciences from 2006 to 2011. Results Seven out of eight children had a favorable outcome. Conclusion Aryepiglottoplasty (Cold steel method) is an efficient, simple and low cost method for treating severe cases of laryngomalacia. How to cite this article Saxena A, Kumar M, Faizal B. Aryepiglottoplasty for Severe Laryngomalacia. Int J Phonosurg Laryngol 2014;4(1):10-12.

Animal Bites to the Head and Neck

1998 ◽  
Vol 77 (3) ◽  
pp. 216-220 ◽  
Author(s):  
Stilianos E. Kountakis ◽  
Socorro A. Chamblee ◽  
Alberto A.J. Maillard ◽  
Charles M. Stiernberg
Keyword(s):  
Antibiotic Therapy ◽  
Head And Neck ◽  
Retrospective Review ◽  
Medical Records ◽  
Prophylactic Antibiotic ◽  
Prophylactic Antibiotics ◽  
The Other ◽  
Large Teaching Hospital ◽  
Prophylactic Antibiotic Therapy ◽  
Animal Bites

There is controversy regarding the timing of repair and the use of prophylactic antibiotics in patients with animal bites to the head and neck. In this paper we review our experience with such wounds, and address surgical management and the use of prophylactic antibiotic therapy. A retrospective review of the medical records of 29 patients with animal bites to the head and neck was conducted. All patients were seen and treated at a large teaching hospital in Houston, Texas over an 18-month period. Seventy-six percent of our patients were 12 years old or younger. Most came to the emergency room soon after sustaining their injuries, and their wounds were repaired primarily with favorable results. There were no cases of wound infection. Ninety percent were treated with prophylactic antibiotics. The wounds of the 10% of patients who did receive antibiotics were similar to those of the other patients and healed well without infection. Wounds resulting from animal bites to the head and neck can be repaired primarily when treated shortly after injury. Further prospective, randomized studies are recommended to evaluate the effectiveness and necessity of prophylactic antibiotic therapy in this patient population.

Abdominal Ultrasonographic Findings Associated With Feline Infectious Peritonitis: A Retrospective Review of 16 Cases

2010 ◽  
Vol 46 (3) ◽  
pp. 152-160 ◽  
Author(s):  
Kristin M. Lewis ◽  
Robert T. O’Brien
Keyword(s):  
Retrospective Study ◽  
Peritoneal Cavity ◽  
Retrospective Review ◽  
Medical Records ◽  
Clinical Signs ◽  
Free Fluid ◽  
Academic Institutions ◽  
Feline Infectious Peritonitis ◽  
Clinicopathological Findings ◽  
Abdominal Lymphadenopathy

The feline infectious peritonitis virus (FIPV) is a mutated form of the feline enteric coronavirus (FeCV) that can present with a variety of clinical signs. The purpose of this retrospective study was to analyze abdominal ultrasonographic findings associated with cats with confirmed FIPV infection. Sixteen cases were included in the study from a review of medical records at two academic institutions; inclusion was based either on necropsy lesions (n=13) or a combination of histopathological, cytological, and clinicopathological findings highly suggestive of FIPV infection (n=3). The liver was judged to be normal in echogenicity in 11 (69%) cats, diffusely hypoechoic in three cats, focally hyperechoic in one cat, and focally hypoechoic in one cat. Five cats had a hypoechoic subcapsular rim in one (n=3) or both (n=2) kidneys. Free fluid was present in the peritoneal cavity in seven cats and in the retroperitoneal space in one cat. Abdominal lymphadenopathy was noted in nine cats. The spleen was normal in echogenicity in 14 cats and was hypoechoic in two. One cat had bilateral orchitis with loss of normal testicular architecture. Although none of these ultrasonographic findings are specific for FIPV infection, a combination of these findings should increase the index of suspicion for FIPV infection when considered along with appropriate clinical signs.

Knowledge, Attitudes, and Behaviors Regarding Piperacillin-Tazobactam Prescribing Practices: Results From a Multicenter Study

2006 ◽  
Vol 27 (11) ◽  
pp. 1274-1277 ◽  
Author(s):  
Theresa L. Antoine ◽  
Amy B. Curtis ◽  
Henry M. Blumberg ◽  
Kathryn DeSilva ◽  
Mesfin Fransua ◽  
...  
Keyword(s):  
Focus Groups ◽  
Multicenter Study ◽  
Retrospective Review ◽  
Medical Records ◽  
Prescribing Practices ◽  
Perceived Knowledge ◽  
Clinical Criteria ◽  
Attitudes And Behaviors ◽  
Emory University ◽  
And Behaviors

We investigated knowledge, attitudes, and behaviors of prescribers concerning piperacillin-tazobactam use at 4 Emory University-affiliated hospitals. Discussions during focus groups indicated that the participants' perceived knowledge of clinical criteria for appropriate piperacillin-tazobactam use was inadequate. Retrospective review of medical records identified inappropriate practices. These findings have influenced ongoing interventions aimed at optimizing piperacillin-tazobactam use.

Drug and chemical poisoning admissions at a teaching hospital in Malaysia

2002 ◽  
Vol 21 (7) ◽  
pp. 377-381 ◽  
Author(s):  
A F Ab Rahman
Keyword(s):  
Teaching Hospital ◽  
Retrospective Review ◽  
Medical Records ◽  
The State ◽  
Number Of Patients ◽  
Medicinal Substances ◽  
The Common ◽  
Poisoning In Children

A retrospective review of medical records was carried out to determine the pattern of drug and chemical poisoning cases admitted to a teaching hospital in Malaysia. Medical records of patients admitted during the period January 1987 to December 1995 were reviewed. They accounted for 0.2% of total admissions during the period. While all ages were represented, there was predominance of children, which showed little change throughout the nine-year period. Of all cases of poisoning, 77.8% were unintentional, 12.6% intentional and 9.6% were undetermined. Kerosene, pesticides and medicinal substances remained the common agents associated with poisoning. A significant number of patients sought treatment elsewhere before being admitted to the hospital. Of those who came directly to the hospital, many were presented late in the course of their poisoning. Only seven patients died and none were children. This study supports the need for greater emphasis on prevention of poisoning in children and among farmers in the state.

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