Publications by authors named "Margaret Tuttle"

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.

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  • Functional neurological disorder (FND) is a common and serious condition that many doctors don’t fully understand.
  • It has been recognized for over 100 years but people with FND still face unfair treatment and discrimination.
  • The text argues that FND is a feminist issue because it often affects women and highlights the need for better education and healthcare for those affected by this disorder.
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There is a growing body of knowledge regarding management of functional neurological disorder (FND). The aim of this article is to guide the clinician through FND clinical management, from delivery of the diagnosis, to creation of a biopsychosocially-informed treatment plan, to troubleshooting common issues that arise throughout longitudinal care. We review the evidence and core principles of both rehabilitative therapies (physical therapy, occupational therapy, and speech and language therapy) and psychological therapies for the treatment of FND, and discuss the benefits of engaging a multidisciplinary and interdisciplinary team.

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One of the most evident trends in US health care and health care generally in the developed world is that more and more care is shifting to outpatient settings. This change opens up substantial opportunities, and in many cases, expectations for chaplains to extend the breadth of the care they provide in any health system. However, it also brings many challenges.

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  • Evaluation of infants with craniosynostosis for surgery is complex, with optimal timing for repair typically between 3 and 12 months; however, limited research exists for those presenting later.
  • A study examining cognitive development in infants over 12 months revealed that 80% had developmental delays before surgery, but showed improvement in cognitive scores postoperatively.
  • The findings suggest a possible positive link between cranial vault surgery and cognitive development in infants who initially present with delays.
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Objective: Clozapine produces EEG abnormalities and dose-dependent risk of epileptic seizures. Much less is known about EEG effects of newer antipsychotics. The present study therefore examined the risk of EEG abnormalities associated with various antipsychotic drugs.

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