Two groups of schizophrenic patients received either bitemporal or right temporoparietal electroconvulsive therapy (ECT), both without anesthesia. Each patient received six treatments, the first three at 2-day intervals and the next three at 4-day intervals. Psychiatric evaluations and cognitive tests done at baseline, and 7 and 20 days after therapy, found similar degrees of improvement and similar effects on memory in both groups, with improvement in 40% and impairment in 30% of the patients. Subjective forgetfulness is more often experienced by the patients who receive bilateral ECT.
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Cureus
November 2024
Psychiatry, Mount Sinai Medical Center, Miami Beach, USA.
The differential diagnosis of neurocognitive and psychiatric disorders, particularly when symptoms overlap significantly, poses a substantial challenge in clinical practice. Parkinson's disease (PD), Lewy body dementia, and catatonia are distinct conditions that can present with similar motor and cognitive symptoms, complicating accurate diagnosis and effective treatment. We report the case of a 45-year-old male patient who presented for electroconvulsive therapy (ECT) evaluation.
View Article and Find Full Text PDFPsychopharmacol Bull
August 2023
Gillman, PsychoTropical Research, Queensland, Australia.
The first monoamine oxidase inhibitors (MAOIs) used for the treatment of depression in the 1950-60s were credited with treating severe melancholic depression (MeD) successfully and greatly reducing the need for electroconvulsive therapy (ECT). Following the hiatus caused by the then ill-understood cheese reaction, MAOI use was relegated to atypical and treatment-resistant depressions only, based on data from insufficiently probing research studies suggesting their comparatively lesser effectiveness in MeD. The siren attraction of new 'better' drugs with different mechanisms amplified this trend.
View Article and Find Full Text PDFERJ Open Res
March 2023
Faculty of Biological Sciences, School of Biomedical Sciences, University of Leeds, Leeds, UK.
https://bit.ly/3iS4smw.
View Article and Find Full Text PDFJ Am Acad Psychiatry Law
March 2023
Dr. Iltis is Professor of Philosophy, Carlson Professor of University Studies, and Director, Center for Bioethics, Health and Society; Ms. Fortier is an undergraduate student; and Mr. Ontjes is a graduate student, Wake Forest University, Winston-Salem, NC. Dr. McCall is Department Chair, Case Distinguished University Chairman, Department of Psychiatry and Health Behavior, and Executive Vice Dean, Medical College of Georgia, Augusta University, Augusta, GA.
Electroconvulsive therapy (ECT) is a safe and effective treatment used for numerous psychiatric conditions. While many patients for whom ECT is indicated are able to give voluntary informed consent, some lack decision-making capacity (DMC), at least temporarily. Case reports from numerous countries involving ECT for patients who lack DMC indicate overall positive outcomes and high patient satisfaction with results comparable with those of consenting patients; some patients regain DMC with ECT.
View Article and Find Full Text PDFMicroorganisms
January 2022
Department of Biochemistry, University of Arizona, Tucson, AZ 85721, USA.
The family represents purple sulfur bacteria of the found primarily in alkaline soda lakes of moderate to extremely high salinity. The main microscopically visible characteristic separating them from the is the excretion of the intermediate elemental sulfur formed during oxidation of sulfide prior to complete oxidation to sulfate rather than storing it in the periplasm. We present a comparative study of 38 genomes of all species of phototrophic .
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