Advancing Treatment of Depression and Other Mood Disorders Through Innovative Models of Telepsychiatry.

Rapid changes in health care technology are advancing mental health care. Telepsychiatry, in the form of live interactive videoconferencing, has demonstrated its ability to improve access to high-quality mental health care, specifically in the treatment of patients with depression and mood disorders. This article reviews the advances in telepsychiatry in the treatment of depression and mood disorders.

Early use of telepsychotherapy in resident continuity clinics-our experience and a review of literature.

Telepsychotherapy is an underutilized tool in training programs, and use of telepsychiatry often occurs in the later years of residency. This study evaluates the feasibility of early exposure to telepsychotherapy in residency continuity clinics and reviews the existing literature on the use of telemedicine in the training of psychiatrists. Feedback from the participating residents and patients was used to determine the benefit of such a training curriculum.

Practical and Regulatory Considerations of Teleprescribing via CVT.

Purpose Of Review: Clinical video teleconferencing (CVT) represents a robust mechanism for more accessible medical care. Providers who practice medicine via CVT, including teleprescribing, should understand a number of core practical and regulatory factors. This paper aims to review these core factors, such that providers new to CVT may offer teleprescribing services in a manner consistent with current clinical standards and regulatory requirements.

The Bot Will See You Now: A History and Review of Interactive Computerized Mental Health Programs.

The goal of automating complex human activities dates to antiquity. The mental health field has also made use of advances in technology to assist patients in need. Artificial Intelligence (AI) is the study of agents that receive percepts from the environment and perform actions.

Best Practices in Videoconferencing-Based Telemental Health April 2018.

Telemental health, in the form of interactive videoconferencing, has become a critical tool in the delivery of mental health care. It has demonstrated the ability to increase access to and quality of care, and in some settings to do so more effectively than treatment delivered in-person. This article updates and consolidates previous guidance developed by The American Telemedicine Association (ATA) and The American Psychiatric Association (APA) on the development, implementation, administration, and provision of telemental health services.

Institutionally based videoconferencing.

The delivery of psychiatric care via video-teleconferencing (VTC) technology is thought to have reached a tipping point. As a medical speciality with relatively few material or technical requirements for service delivery, psychiatry has been one of the earliest to embrace the possibility of providing evaluations and treatment at a distance. Such technical infrastructure as is necessary can often be found in the institutions already in existence.

A lexicon of assessment and outcome measures for telemental health.

Background: The purpose of this document is to provide initial recommendations to telemental health (TMH) professionals for the selection of assessment and outcome measures that best reflect the impacts of mental health treatments delivered via live interactive videoconferencing.

Materials And Methods: The guidance provided here was created through an expert consensus process and is in the form of a lexicon focused on identified key TMH outcomes.

Results: Each lexical item is elucidated by a definition, recommendations for assessment/measurement, and additional commentary on important considerations.

Thermodynamic analysis to assess the environmental impact of end-of-life recovery processing for nanotechnology products.

The objective of this study is to use thermodynamic analysis to evaluate the environmental impact of nanotechnology products during the end-of-life (EOL) material recovery stage. A case study of the high-temperature metal recovery (HTMR) process used to recycle lithium-ion (Li-ion) batteries is presented. Previous research has shown that the melting behavior of nanomaterials may deviate from their corresponding bulk materials.

Dual-etched implants loaded after 1- and 2-month healing periods: a histologic comparison in baboons.

The purpose of this study was to evaluate the effect of early loading of Osseotite dual acid-etched commercially pure titanium dental implants in an established baboon model. Implant sites were prepared by removal of premolars and first molars at maxillary and mandibular sites in 10 adult female baboons (Papio anubis). The resultant edentulous ridges were allowed to heal for 6 weeks.

Does peripheral neuropathy allow for the clinical expression of tardive dyskinesia by unmasking central nervous system changes?

Tardive dyskinesia (TD) is a severe and troubling complication of long-term typical neuroleptic use whose etiology remains obscure. While it is widely believed that central nervous system (CNS) dopamine receptor super-sensitivity is involved in the pathogenesis of the condition, it is unclear why some patients develop TD while others do not. It is proposed that a subclinical peripheral motoneuropathy with consequent enlarging of the motor units may act to unmask neuroleptic-induced CNS changes allowing for the expression of TD.

Effect of unintentional exposure of 2-stage implants upon subsequent osseointegration: histologic findings 6 months postloading.

The purpose of this study was to evaluate the effect of early spontaneous exposure of 2-stage implants upon subsequent histologic bone contact following occlusal loading. As part of a study comparing 2 types of metallic threaded implants, 48 implants (24 CPTi and 24 Ti-13Nb-13Zr) were placed in maxillary and mandibular posterior sites in 6 baboons. Implant exposure was evaluated at time of placement and at each weekly visit for the first 3 weeks, then at 1, 2, and 3 months, and also at 6 months for the maxilla.

Effect of early exposure on the integration of dental implants in the baboon: Part 1--Clinical findings at uncovering.

There has been increased discussion on the advantages of a one- versus a two-stage surgical approach in the placement of dental endosseous implants. This study evaluated the influence of early implant exposure on crestal bone height adjacent to the implant surface and Periotest values at uncovering in the baboon. Forty-eight implants (24 commercially pure titanium, 24 titanium alloy) were placed in maxillary and mandibular posterior sites in 6 baboons.

Loaded and nonloaded titanium versus hydroxyapatite-coated threaded implants in the canine mandible.

A commercially pure titanium threaded implant was compared to a hydroxyapatite-coated threaded implant of similar geometric design and dimensions in the canine model. Bilateral posterior implants supported fixed prostheses, and some implants in the same mandibles served as unloaded control implants. Implants were evaluated clinically, radiographically, and histomorphometrically at the light microscope level to detect any differences in bone response to loaded conditions.

Use of an optical comparator for radiographic measurement of bone loss around endosseous implants: a pilot study.

A technique for the measurement of bone loss around endosseous implants using an optical comparator was investigated. Five operators were asked to measure the mesial and distal alveolar bone levels around a screw type dental implant on a periapical radiograph mounted on an optical comparator. The known size of a threaded implant was used as a reference.

The role of parkinsonism and antiparkinsonian therapy in the subsequent development of tardive dyskinesia.

Tardive dyskinesia (TD) is a side effect of prolonged neuroleptic treatment presenting as abnormal involuntary movements. This troublesome disorder occurs in only 15-30% of patients taking neuroleptics, suggesting that these individuals may be physiologically distinct so as to be predisposed. This study analyzed possible factors contributing to TD development.

Impression considerations in the maxillary anterior region.

This article discusses the precautions necessary to obtain a predictable gingival condition for achieving optimum esthetic results. The timing of the final impression is also discussed in this context.

Health reform: the new reality.

In 1965 the poor and elderly did not have access to health care. To alleviate this problem Medicare was implemented. Major changes in health care occurred as a result.

Histologic analysis of the osseointegration of endosseous implants in simulated extraction sockets with and without e-PTFE barriers. Part II: Histomorphometric findings.

This investigation constitutes a pilot study of osseous changes around hydroxylapatite-coated implants analyzed histologically nine weeks following their placement into stimulated mongrel dog extraction sites either with or without e-PTFE barriers. An image analysis system was utilized for the assessment of undecalcified sections for the following parameters: (1) crestal alveolar bone height, (2) distance to the most coronal bone in residual defects, (3) distance to the most lateral bone in residual defects, and (4) area of bone regenerated in standardized 1 mm x 3 mm portions of original defects. Two-way ANOVA demonstrated that there were significant differences among the barrier, non-barrier, and control sites for all parameters except crestal bone height (p < 0.

Histological and clinical comparisons of guided tissue regeneration on dehisced hydroxylapatite-coated and titanium endosseous implant surfaces: a pilot study.

Fifty-six endosseous cylindrical implants were placed in dog mandibles 12 weeks after the extraction of all mandibular premolars and first molars. Eight implants, four coated with 50 microns of hydroxylapatite (HA) and four grit-blasted and titanium-surfaced, were placed in each dog. Ideal implant placement sites were modified by creating standardized 3 x 5-mm facial dehiscence defects.

A quantitative study of cementum removal with hand curettes.

An in vitro study was conducted to quantitatively measure the depth of root surface removal using curettes of standardized sharpness and with definite stroke number. Extracted periodontally healthy teeth from patients 10 to 15, 16 to 25, and 26 to 40 years old had periodontal ligament remnants removed with dry gauze before being secured in a vertical position during root planing. The force applied to the root surface was measured with a tension load cell.