Bacteraemia is common following dental procedures and it was believed that this could lead to bacteria endocarditis a severe infection of the lining of the chambers of the heart with a high mortality rate. Until 2008 when National Institute for Health and Care Excellence (NICE) recommended that antibiotics were not required guidelines in many countries [read the full story…]
Temporomandibular joint disorders (TMD) are normally managed conservatively however it has been estimated that aroung 5% require a surgical interventions (arthrocentesis, arthroscopy, condylotomy, and disc repair or removal (menisectomy). A small subset of patietsn may require Temporomandibular Joint (TMJ) replacement . Indications for replacement include:- bony ankylosis failed previous alloplastic and autogenous joint replacement post-traumatic [read the full story…]
Complementary and alternative medicine (CAM) therapies are often perceived to be as effective as conventional treatments, more “natural”, less expensive, have fewer side-effects and are easily available without a prescription. But do these perceptions match up with the reality? Can CAM therapies be helpful additions to conventional treatments? This alludes to an interesting sociological question [read the full story…]
Cognitive-behavioral therapy (CBT) is widely researched and recommended as an evidence-based treatment for adult depression, but despite the strength of research comparing CBT approaches with other forms of care, there are few recent systematic reviews on this topic. Cuijpers and collaborators provide such a review in a recent meta-analysis published in The Canadian Journal of [read the full story…]
Antipsychotic medications are often the first line of treatment for schizophrenia and have been effective at treating florid symptoms such as delusions and hallucinations. Fluphenazine was one of the first antipsychotics to become available on the market and has now been appearing on prescriptions for over 5 decades. Despite the arrival of newer generations of [read the full story…]
Within the woodland October is a month of themes. Many of you will be familiar with #Stoptober, which always helps any elves who sneak round the the back of the woodshed, to give up smoking. You may be less aware of our #MindfulnessMonday activities that will be sprinkled across the month; showcasing the potential benefits that [read the full story…]
Do not use psychological debriefing when a child has been exposed to a traumatic event such as assault or a major car crash. And if you treat a child who has developed Posttraumatic Stress Disorder (PTSD) due to trauma, do not use pharmacotherapy either (that is, not as a first line treatment). Rather, apply the [read the full story…]
Mood disorders include schizoaffective, dysthymia, rapid cycling, unipolar and bipolar disorders. People with mood disorders have a 30 times higher risk of suicide than the general population. Recent Mental Elf blogs have summarised the data on suicide risk and bipolar disorder, and shown that one key treatment is lithium which appears to have a robust evidence [read the full story…]
Non-epileptic seizures can have a major impact on the quality of life of people affected. Those with an organic, physical cause may be relatively easy to diagnose, and if the underlying cause can be found, it may of course be amenable to treatment and if that treatment is successful, the seizures may stop. Some seizures [read the full story…]
Depression is common in primary care and associated with a substantial personal, social and societal burden. There is considerable ongoing controversy regarding whether antidepressant pharmacotherapy works and, in particular, for whom. One widely-prescribed antidepressant is fluoxetine (Prozac), an antidepressant of the selective serotonin reuptake inhibitors (SSRI) class. Although a number of more recent antidepressants are [read the full story…]
