Notes

Arteriovenous fistula with the clival diploic abnormal vein related to arteriovenous fistula from the posterior condylar canal.
It is unclear whether borderline intellectual functioning (bif) and/or a mild intellectual disability (mid) in patients receiving treatment in mental health care are being recognized by care providers.<br/> AIM Exploratory study to register under-diagnosis of bif/mid in an outpatient clinic.<br/> METHOD The number of patients diagnosed with bif/mid according to the electronic patient file (epd) was determined. From 11 August to 11 December 2015, all newly registered patients for outpatient treatment with an mbo-2 or lower educational level were screened for the possible presence of bif/mid applying the screener for intelligence and mild intellectual disability (scil). For all patients, their mental health care practitioner was asked if they suspected bif/mid. These percentages were compared. The sensitivity and specificity and the positive and negative predictive value (ppv and npv) of the opinion of the mental health care practitioners were determined.<br/> RESULTS In the epd 2,8% of patients were diagnosed with bif, and 0,8% with mid. The percentage of suspected bif/mid of newly registered patients was 17,5%. The sensitivity of the assessors' opinion was 41%, the npv was 57%.<br/> CONCLUSION In newly registered patients at an outpatient clinic bif and mid are important but frequently missed co-morbidities.
CONCLUSION In newly registered patients at an outpatient clinic bif and mid are important but frequently missed co-morbidities.
Wernicke encephalopathy (we) is a severe, acute neuropsychiatric disorder caused by a deficiency in thiamine. There have been indications that we is undertreated, which can lead to the Korsakoff syndrome, delirium or death. Treatment according to protocol is simple and effective. The knowledge of physicians about we has not been researched before.<br/> AIM To test the knowledge of resident doctors on diagnosis, etiology and treatment of we. <br/> METHOD The knowledge of 70 resident doctors in different medical specialties was examined through two clinical cases the first with we due to hyperemesis gravidarum and the second due to alcohol abuse. Both open and multiple-choice questions were asked. Cues of the classical triad of we (cognitive disorder, eye movement disorder and gait disorder) were given accumulatively.<br/> RESULTS The classical triad of we was not recognized by 73% of the resident doctors in the case of hyperemesis gravidarum and they missed we in the case of alcohol abuse. Many of the resident doctors were not able to name the thiamin deficiency, the triad of we, more than three causes of we or the correct treatment with thiamine sufficiently. 67% of resident doctors indicated that their knowledge of we was insufficient and 76% expressed a need for more information about we.<br/> CONCLUSION The knowledge of resident doctors about the diagnostics, etiology and management of we is insufficient. Moreover, the resident doctors evaluate their knowledge about we to be insufficient. Medical school and postgraduate specialization have to focus more on this common and severe syndrome, which can appear in different medical areas.
CONCLUSION The knowledge of resident doctors about the diagnostics, etiology and management of we is insufficient. Moreover, the resident doctors evaluate their knowledge about we to be insufficient. Medical school and postgraduate specialization have to focus more on this common and severe syndrome, which can appear in different medical areas.
Regular mental health care does not sufficiently meet the needs of a specific group of children and adolescents with a combination of mental health problems and severe problems in different life domains. To better reach this vulnerable population, flexible assertive community treatment FACT Youth teams are established. However, to date, little is known about the characteristics of the FACT Youth population and potential regional differences herein.<br/> AIM To determine if the populations of the FACT Youth teams in the Netherlands have more similarities or differences.<br/> METHOD First, we assessed the characteristics of the FACT Youth populations of three Dutch regions (Foodvalley, Nijmegen, and Rivierenland). Subsequently, we conducted a literature study to identify characteristics of other regional FACT Youth populations in the Netherlands. After that, we made a comparison between the FACT Youth populations of the different regions in the Netherlands.<br/> RESULTS There were more differences than similarities in the FACT Youth populations.<br/> CONCLUSION There is no overarching FACT Youth population, but there are location-specific FACT Youth populations. On the one hand, it is important to ensure uniformity by following the FACT Youth Model Description. On the other hand, there must be space for location-specific variation in the organization of the FACT Youth teams, in order to offer the best help to the entire patient population.
CONCLUSION There is no overarching FACT Youth population, but there are location-specific FACT Youth populations. On the one hand, it is important to ensure uniformity by following the FACT Youth Model Description. On the other hand, there must be space for location-specific variation in the organization of the FACT Youth teams, in order to offer the best help to the entire patient population.Precision psychiatry has no future.The continued spread of 2019-nCoV has prompted widespread concern around the world. WHO formally named COVID-19 and International Committee on Taxonomy called it Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Due to this viral attack, the whole world is in lockdown. Presently, there is no effective way to control it, except social distancing and hygienic activity. Deferiprone World class scientists and researchers are trying to make vaccine and discover the medicine against the control and cure to this deadly viral disease. Our aim to presenting this article is kick-off deadly viral disease i.e COVID-19 by an easy way with minimum intervention and effort. Different ayurvedic therapeutic agents (Curcuma Longa L, Green tea and Piper nigrum) inhabit entry of virus in host cell, transmission of pathogen and improve the immunity. Curcumin and piperine (1-piperoylpiperidine) interact to each other and form a π-π intermolecular complex which enhance the bioavailability of curcumin by inhibition of glucuronidation of curcumin in liver.
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