Differential Diagnosis of Major Depression and Bipolar Disorder.

Differential diagnosis of major depression and bipolar disorder.

Filed under: Depression Treatment

Eur Arch Psychiatry Clin Neurosci. 2013 Jan 30;
Schmitt A, Falkai P

HubMed – depression


The decline in attentional visual fields over time among older participants in the Salisbury Eye Evaluation Driving Study (SEEDS).

Filed under: Depression Treatment

Invest Ophthalmol Vis Sci. 2013 Jan 29;
Rao P, Munoz B, Turano K, Munro C, West SK

PURPOSE: The loss of Attentional Visual Field (AVF) has been linked to poor mobility and car crashes. We investigated the risk factors associated with a decrease in Attentional Visual Field (AVF) over time among participants in the Salisbury Eye Evaluation Driving Study (SEEDS). METHODS: In a longitudinal cohort of 968 individuals ages 67-87, demographic, medical, visual and cognitive factors were obtained at baseline (2005-2006) and follow up (2007-2008) using structured medical questionnaires and onsite examinations. Using the standard deviation for the difference in AVF over 2 years of 4.3 degrees, two subgroups were created: 1) Those who lost 5 degrees or more in two years 2) Those who had no loss (ie. loss of 5 degrees or less or no loss). Age-adjusted and multivariate odds ratios (OR) with 95% confidence intervals (95% CI) for each explanatory factor were determined using logistic regression. RESULTS: The overall change in AVF was -0.34 degrees, (SD=4.32), which was a significant decline from baseline. 14% of the population lost five or more degrees of AVF. The following determinants were associated with a minimum loss of 5 degrees over 2 years: female (OR=1.59 p=0.03), history of stroke (OR=1.90, p=0.03), depression, (OR=1.07 p=0.02), a lower baseline Trails A and B scores (OR=1.09 p=0.003, OR=1.02 p=0.02), and lower baseline visual acuity (OR=1.21p=0.03). In addition, decline was related to a lower baseline measure of auditory attention (OR=1.14 p=0.007) and lower baseline Visual Fields in the central 20 degrees (OR=1.24 p=0.01). CONCLUSION: Loss in AVF over time is related independently to decrements in both cognition and vision. The greater risk of loss in females, independent of these factors, deserves further research.
HubMed – depression


High-Voltage Suicidal Electrocution With Multiple Exit Wounds.

Filed under: Depression Treatment

Am J Forensic Med Pathol. 2013 Jan 28;
Das S, Patra AP, Shaha KK, Sistla SC, Jena MK

ABSTRACT: Poisoning, hanging, and burning are the usual methods adopted by people to commit suicide. Suicide by electrocution and that too high voltage is one of the rarest methods adopted for the purpose. We report the case of a young man who committed suicide by climbing up a 25-ft-high electric pole. The deceased was a regular alcoholic and was under severe depression for a long time because of his personal problems. He survived for more than 2 days after the incident. His serum urea and creatinine levels were elevated, so were the creatine kinase total and creatine kinase-MB level. The method adopted and the findings make this case a rare scientific report. Moreover, to the best of our knowledge, this is the first reported case in an English scientific literature of a high-voltage suicidal electrocution with multiple exit wounds. The circumstances surrounding the manner of electrocution and the features of electric injuries are presented and discussed.
HubMed – depression


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