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Long-term final result throughout patients with aneurysmal subarachnoid lose blood requiring mechanised air flow.
inating between epileptic and non-epileptic events to improve their confidence. Professionals want routine neurophysiological monitoring that can be applied and interpreted at the bedside throughout the day to regain a sense of control over their patient, direct treatment appropriately, and, potentially, improve outcomes, but report appropriate training and peer review are essential if it is to be introduced into routine care. What this study adds Paediatric intensive care unit (PICU) staff feel out of control when faced with diagnosing seizures. Neurophysiological monitoring is wanted to help diagnosis and treatment. Amplitude-integrated electroencephalography is the preferred, pragmatic tool by PICU staff.Catatonia is a psychomotor syndrome characterised by multiple symptoms like stereotypies - repetitive, abnormally frequent, non-goal-directed movements. A problem is the lack of unanimity regarding the number of symptoms needed for diagnosis. We describe repetitive inappropriate sexual behaviour in a patient with bipolar depression and excited catatonia with Bush-Francis Catatonia Rating Scale score of 12. Electroconvulsive therapy resulted in disappearance of catatonia and inappropriate sexual behaviour and remission of depression. Puromycin mw A recurrent episode with similar inappropriate sexual behaviour was successfully treated with electroconvulsive therapy. We interpreted the repetitive inappropriate sexual behaviour as a catatonic stereotypy. Similar stereotypies are reported in children with autism. Tics and self-injury in patients with autism are described as a stereotypy within catatonia. The agitated depression is another possible diagnosis with the repetitive inappropriate sexual behaviour as an example of psychomotor agitation. More research is needed towards repetitive inappropriate sexual behaviour as a possible stereotypy within catatonia.
Today, almost every psychiatric care institution registers information concerning the care they provide in an electronic health record (EHR). By analyzing these health care data with innovative and advanced techniques, they can be an important source of new knowledge in the near future, and thereby contribute to improving psychiatric care.

To investigate how data from EHRs can provide relevant knowledge and insights for psychiatric care.

We designed and discussed solutions for some technical, organizational and ethical barriers surrounding unlocking health care data, in order to make analysis possible. We then analyzed the obtained health care data using techniques from knowledge discovery, the process in which new and useful information is extracted from data. We used techniques from data visualization, machine learning and natural language processing, among others, to demonstrate which types of results can be achieved.

Our approach showed that it is possible to find new and interesting insights that are hidden in EHRs on an aggregated level, in collaboration with healthcare professionals and patients. In particular we showed how the risk of violent behavior can effectively and accurately be assessed based on clinical text in the EHR.

After addressing some of the important challenges surrounding analyzing EHR data, learning from data from EHRs is a new and interesting approach with clear potential for improving psychiatric care.
After addressing some of the important challenges surrounding analyzing EHR data, learning from data from EHRs is a new and interesting approach with clear potential for improving psychiatric care.
The prevalence of psychopathology did not decrease in prosperous countries, despite evidence-based treatment, focus on prevention and long prosperity.

To investigate if the eastern concept of self-compassion can help to decrease the prevalence of psychopathology.

Literature review and interviews with experts.

Health is defined as a state of complete wellbeing. This seems like a maintainable goal in prosperous countries. Setbacks are, however, an unavoidable part of life and therefore resilience is important. Normalizing a state of complete wellbeing comes at the expense of resilience because it increases stress after setbacks. Stress is an important precursor to psychopathology because it leads to suffering and dysfunction. The concept of self-compassion and compassion in a broader sense, refer to the capacity to be mild when setbacks occur. (Self)-compassion helps to regulate stress and can therefore improve resilience and contribute to decrease the prevalence of psychopathology.

In prosperous countries, there is little attention to resilience. The concept of (self)-compassion can contribute to mental resilience and can help to decrease the prevalence of psychopathology. Therefore, it deserves a place in the diagnostics and treatment of psychiatric disorders.
In prosperous countries, there is little attention to resilience. The concept of (self)-compassion can contribute to mental resilience and can help to decrease the prevalence of psychopathology. Therefore, it deserves a place in the diagnostics and treatment of psychiatric disorders.
In the last decade, regulations regarding the fitness to drive in The Netherlands have been changed extensively.

To describe the changes in the regulations, and to evaluate the consequences for daily practice.

Overview of changes in the regulations concerning the fitness to drive as published in the Dutch legislation announcements in the past 10 years.

Important changes have been implemented regarding the regulations on fitness to drive in patients with affective disorders, psychotic disorders, dementia, ADHD and pervasive developmental disorders.

Compared to 2010, the regulations concerning the fitness to drive in psychiatric disorders are less rigid, more balanced, and more evidence based. Therefore, it has become easier to inform and advise the patient on this topic.
Compared to 2010, the regulations concerning the fitness to drive in psychiatric disorders are less rigid, more balanced, and more evidence based. Therefore, it has become easier to inform and advise the patient on this topic.
International consensus states that seclusion and restraint should only be applied as briefly and as little as possible. However, audits by the Care Inspectorate show that this is not always the case in Flemish mental health care (MHC).

To describe the development of a multidisciplinary guideline for the prevention and application of seclusion and restraint in inpatient MHC, underpinned by both clinical-scientific and legal evidence.

The GRADE method formed the basis for the development of the guideline. To integrate both types of evidence, two research phases were added. This article provides an overview of the challenges involved in implementing this interdisciplinary method.

There are gaps in both clinical-scientific and legal evidence. Nevertheless, the study resulted in a comprehensive guideline because we underpinned the recommendations with practice- and experience-based expertise of the Flemish stakeholders, and integrated the clinical-scientific and legal evidence.

Focus on implementation research and a clear legal framework for Flanders are necessary to safeguard the (human) rights of MHC users, also in the event of aggression and escalation.
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