DatSCAN In Differential Diagnostics of Lewy Body Disease.

Differential diagnosis between Lewy body disease and Alzheimer´s disease might be difficult because of similarities of clinical symptoms in both neurodegenerative diseases. DatSCAN is a modern functional neuroimmaging method which differentiates between this similar diseases and helps in correct treatment strategy. We report our positive experience with DatSCAN in differentiating Lewy body disease from Alzheimer´s disease.

Dementia Still Diagnosed Too Late - Data from the Czech Republic.

Background: The goal of the study is to evaluate the sensitivity of Czech physicians to the early diagnosis of dementia in patients with memory impairment.

Methods: A retrospective observational study was designed. We have reviewed the electronic medical records of patients who have been hospitalized for the first time due to dementia of any type at the Kromeriz Mental hospital from January 1, 2012 to December 31, 2013 (24-month period).

Non-adherence in seniors with dementia - a serious problem of routine clinical practice.

Background: Non-adherence to treatment in seniors with dementia is a frequent and potentially dangerous phenomenon in routine clinical practice which might lead to the inappropriate treatment of a patient, including the risk of intoxication. There might be different causes of non-adherence in patients with dementia: memory impairment, sensory disturbances, limitations in mobility, economical reasons limiting access to health care and medication. Non-adherence leads to serious clinical consequences as well as being a challenge for public health.

Agomelatine in elderly--finally a patient friendly antidepressant in psychogeriatry?

Background: Geriatric depression is a serious psychiatric conditions with prevalence from 10–40% in community living seniors. Polymorbidity and potential vulnerability of seniors towards medication is a challenge for seeking newer, well tolerated antidepressant with good clinical efficiency and safety. Agomelatine is new promising antidepressant which could fulfill these criteria.

Prevalence of elder abuse and neglect in seniors with psychiatric morbidity - example from central moravia, czech republic.

Background: Elder abuse and neglect (EAN) comprises emotional, financial, physical, and sexual abuse, neglect by other individuals, and self-neglect. Elder abuse and neglect in seniors with psychiatric morbidity was not monitored in the Czech Republic at all, despite the literature shows mental morbidity as one of the important risk factor for developing elder abuse and neglect.

Methods: We designed comparative cross sectional study comprising 305 seniors hospitalized in Mental Hospital Kromeriz in June 2011 - group of 202 seniors hospitalized due to mental disorder in psychogeriatric ward and group of 103 seniors hospitalized due to somatic disorder in internal ward.

Ileus states - conditions connecting psychiatrists and surgeons?

Background: Ileus states are serious conditions that may lead to pathophysiological changes which in turn can result in perforation of bowel, peritonitis, sepsis or death. Our paper discusses paralytic ileus states, which can be caused by psychopharmaceutics with anticholinergic side effects.

Methods And Results: Retrospective analysis of cases of paralytic ileus in mentally ill patients admitted to Mental Hospital Kromeriz.

Does gerontopsychiatry belong to medicine? Cross-sectional study monitoring polymorbidity in hospitalized gerontopsychiatric patients.

Background: A cross-sectional study has been designed and the study observes the prevalence of polymorbidity in senior inpatients suffering from psychiatric morbidity hospitalized in gerontopsychiatric ward in one of the biggest psychiatric hospitals in the Czech Republic. The aim of the study is to prove that gerontopsychiatry is a comprehensive specialization for both doctors and nurses and should not be viewed as a low-status medical specialization.

Methods And Results: A cross-sectional study comprising of 304 patients was designed and a simple descriptive analysis of the patients' medical records was carried out.

Quality of life in hospitalized seniors with psychiatric disorders (a cross-sectional study from the Kromeriz District, Czech Republic).

Background: The quality of life is one of tools used for a comprehensive evaluation of provided health care services. Unlike medical specialties such as oncology or transplantation medicine where maintaining or improving the quality of life has been a traditional challenge, these issues are relatively new to gerontopsychiatric practice. The article is a contribution to research into the quality of life in hospitalized seniors with psychiatric disorders.